Peritoneal carcinomatosis after minimally invasive surgery versus open radical hysterectomy: systematic review and meta-analysis

Autor:	Jorge Hoegl, David Viveros-Carreño, Tatiana Palacios, Andres Gallego - Ardila, Jose Alejandro Rauh-Hain, Erick Estuardo Estrada, Florencia Noll, Kate Krause, Glauco Baiocchi, Lucas Minig, Carlos Fernando Grillo - Ardila, Rene Pareja
Rok vydání:	2022
Předmět:	Uterine Cervical Neoplasms Obstetrics and Gynecology Hysterectomy Oncology Pregnancy Recurrence Carcinoma Squamous Cell Humans Minimally Invasive Surgical Procedures Female Peritoneal Neoplasms Retrospective Studies Neoplasm Staging Randomized Controlled Trials as Topic
Zdroj:	International Journal of Gynecologic Cancer. 32:1497-1504
ISSN:	1525-1438 1048-891X
DOI:	10.1136/ijgc-2022-003937
Popis:	ObjectiveTo assess the incidence of peritoneal carcinomatosis in patients undergoing minimally invasive or open radical hysterectomy for cervical cancer.MethodsThe MEDLINE (accessed through Ovid), Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Clinical Trials, and Scopus databases were searched for articles published from inception up to April 2022. Articles published in English were considered. The included studies reported on patients with International Federation of Gynecology and Obstetrics (FIGO) 2009 stage IA-IIA squamous cell carcinoma, adenocarcinoma, and/or adenosquamous carcinoma of the cervix who underwent primary surgery. Studies had to report at least one case of peritoneal carcinomatosis as a recurrence pattern, and only studies comparing recurrence after minimally invasive surgery versus open surgery were considered. Variables of interest were manually extracted into a standardized electronic database. This study was registered in PROSPERO (CRD42022325068).ResultsThe initial search identified 518 articles. After the removal of the duplicate entries from the initial search, two authors independently reviewed the titles and abstracts of the remaining 453 articles. Finally, 78 articles were selected for full-text evaluation; 22 articles (a total of 7626 patients) were included in the analysis—one randomized controlled trial and 21 observational retrospective studies. The most common histology was squamous cell carcinoma in 60.9%, and the tumor size was ConclusionMinimally invasive surgery is associated with a statistically significant higher risk of peritoneal carcinomatosis after radical hysterectomy for cervical cancer compared with open surgery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::eef718406f111f0516162b260ab73f92 https://doi.org/10.1136/ijgc-2022-003937 Zobrazit plný text záznamu