Patterns of recurrence and survival after abdominal versus laparoscopic/robotic radical hysterectomy in patients with early cervical cancer

• DOI: 10.1111/jog.12840
• Publication Date: 2015-11-11T02:49:37Z
• Authors: Tae‐Wook Kong; Suk‐Joon Chang; Xianling Piao; Jiheum Paek; Yonghee Lee; Eun Ju Lee; Mison Chun; Hee‐Sug Ryu
• Keywords: Parametrium; Lymphadenectomy

This study investigates the pattern of disease recurrence and identifies clinicopathologic prognostic factors for patients with International Federation Gynecology Obstetrics (FIGO) stage IB IIA cervical carcinoma treated laparoscopic/robotic radical hysterectomy (LRH/RRH).We conducted a retrospective analysis 128 FIGO cancer. Preoperative examination did not uncover definitive evidence parametrial invasion or lymph node metastasis in any patients; therefore, all underwent LRH/RRH retroperitoneal lymphadenectomy between April 2006 December 2013. Sites possible related to risk were determined.Multivariate demonstrated that laparoscopic intracorporeal colpotomy (P < 0.041, odds ratio 7.038, 95% confidence interval 1.059-15.183) represented strong factor recurrence. We categorized minimally invasive surgery group into LRH through vaginal (LRH-VC; 79 patients) (LRH/RRH-IC; 49 according colpotomic approaches. Disease was higher LRH/RRH-IC than LRH-VC (16.3% vs 5.1%, P = 0.057), five experiencing intraperitoneal spreads.Total under CO2 pneumoperitoneum may carry positive cuff margin, as well tumor spreads early-stage cancer LRH/RRH.