A propensity score-matched case-control study of laparoscopy and laparotomy for endometrial cancer
| Autor: | Licerio Miguel, Julio Cesar Rosa e Silva, Omero Benedito Poli Neto, Daniel Guimarães Tiezzi, Jurandyr Moreira de Andrade, Francisco Jose Candido dos Reis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Laparoscopic surgery
Medicine (General) medicine.medical_specialty Survival medicine.medical_treatment Endometrial carcinoma Hysterectomy R5-920 Laparotomy medicine Carcinoma Humans Propensity Score Laparoscopy SOBREVIVÊNCIA LIVRE DE DOENÇA Neoplasm Staging Retrospective Studies medicine.diagnostic_test business.industry Endometrial cancer Retrospective cohort study General Medicine medicine.disease Endometrial Neoplasms Surgery Case-Control Studies Propensity score matching Female Neoplasm Recurrence Local business |
| Zdroj: | Revista da Associação Médica Brasileira v.67 n.5 2021 Revista da Associação Médica Brasileira Associação Médica Brasileira (AMB) instacron:AMB Revista da Associação Médica Brasileira, Volume: 67, Issue: 5, Pages: 753-758, Published: 17 SEP 2021 Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Revista da Associação Médica Brasileira, Vol 67, Iss 5, Pp 753-758 (2021) |
| Popis: | SUMMARY OBJECTIVE: A surgery is essential for the management of early endometrial carcinoma. Due to the comorbidities associated with the disease, the complications of surgery are common. Laparoscopic surgery may reduce surgical complications but also have oncological risks. We aimed to compare recurrence and overall survival (OS) associated with laparoscopy and laparotomy for early endometrial cancer. METHODS: We included women treated for presumed early endometrial carcinoma at the Clinics Hospital of Ribeirão Preto Medical School from January 1998 to December 2017. We designed a 1:2 propensity score-matched case-control and compared the patients’ characteristics, short-term outcomes, recurrence, and OS. RESULTS: A total of 252 women were included in this study, 168 underwent laparotomy, and 84 underwent laparoscopy. The two groups were well balanced according to most of the variables, and obesity was a characteristic of patients in both groups. Laparoscopy was associated with increased surgical time (194.7 min vesus 165.6 min; p |
| Databáze: | OpenAIRE |
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