Implementation of laparoscopic approach for type B radical hysterectomy: A comparison with open surgical operations

Ditto, Antonino; Martinelli, Fabio; Bogani, Giorgio; Gasparri, Maria Luisa; Donato, Violante Di; Zanaboni, Flavia; Lorusso, Domenica; Raspagliesi, Francesco

doi:10.1016/j.ejso.2014.10.058

Cited by 84 publications

(74 citation statements)

References 28 publications

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“…Five studies examined cases with Stage IB1 or below disease. 15 , 16 , 26 , 32 , 37 Sixteen studies included cases with locally advanced Stage IB2–IIB disease, 17–20 , 22–25 , 27–30 , 34–36 and only two studies 31 , 33 included cases with Stage IIB disease. One study defined stage IB1 as a tumor size of less than 2 cm.…”

Section: Resultsmentioning

confidence: 99%

Prognostic and Safety Roles in Laparoscopic Versus Abdominal Radical Hysterectomy in Cervical Cancer: A Meta-analysis

Cao

Feng

Huang

et al. 2015

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Objective: Studies comparing the prognostic results between laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH) in cervical cancer reported contradictory results. We aimed to evaluate the prognostic and safety roles of LRH by pooling studies in a meta-analysis.Materials and Methods: Original articles were searched in PubMed, EMBASE, and the Cochrane Library. The survival results (5-year disease-free survival [DFS], 5-year overall survival [OS], and recurrence rate [RR]), safety parameters (intra-, peri-, and postoperative complication rates and postoperative bowel or bladder recovery days), efficiency parameters (pelvic/para-aortic lymph nodes removed), and other parameters (operative time, estimated blood loss, and hospital of stay) between the two approaches were reviewed.Results: For the 2922 cases identified, DFS, OS, and RR did not differ in balanced prognostic factors, including lymph node metastasis, Stage IIB or above, non–squamous cancer histology, grade G3, lymphovascular space invasion, tumor size ≥4 cm, and positive parametrial and vaginal margin rates. Meanwhile, LRH was associated with higher complication rates and a shorter time to the recovery of bowel or bladder function than for ARH. The number of removed pelvic or para-aortic lymph nodes did not significantly differ. Other parameters showed LRH was associated with a longer operative time, less blood loss, and a shorter length of hospital stay. The survival and prognostic results did not differ in balanced prognostic factors.Conclusions: LRH is safe and has lower operative complication rates than ARH.

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Section: Resultsmentioning

confidence: 99%

Prognostic and Safety Roles in Laparoscopic Versus Abdominal Radical Hysterectomy in Cervical Cancer: A Meta-analysis

Cao

Feng

Huang

et al. 2015

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…This means that larger number of the study population is needed to clarify the differentiation in the death. From several retrospective studies, treatment outcome in terms of progression-free and overall survival is comparable between 2 groups [37383940]. …”

Section: Clinical Considerations and Recommendationsmentioning

confidence: 99%

Practice guidelines for management of cervical cancer in Korea: a Korean Society of Gynecologic Oncology Consensus Statement

et al. 2017

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Clinical practice guidelines for gynecologic cancers have been developed by academic society from several countries. Each guideline reflected their own insurance system and unique medical environment, based on the published evidence. The Korean Society of Gynecologic Oncology (KSGO) published the first edition of practice guidelines for gynecologic cancer treatment in late 2006; the second edition was released in July 2010 as an evidence-based recommendation. The Guidelines Revision Committee was established in 2015 and decided to develop the third edition of the guidelines in an advanced format based on evidence-based medicine, embracing up-to-date clinical trials and qualified Korean data. These guidelines cover strategies for diagnosis and treatment of primary and recurrent cervical cancer. The committee members and many gynecologic oncologists derived key questions through discussions, and a number of relevant scientific literature were reviewed in advance. Recommendations for each specific question were developed by the consensus conference, and they are summarized here, along with the details. The objective of these practice guidelines is to establish standard policies on issues in clinical practice related to the management in cervical cancer based on the results in published papers to date and the consensus of experts as a KSGO Consensus Statement.

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“…Several retrospective and prospective reports have demonstrated that laparoscopic and open RH have similar outcomes in terms of diseasefree and overall survival. 11,15,25,26 However, someone may object that different patterns of recurrence between the two procedures may disguise a different ability to obtain local control of the disease, which may be masked by adjuvant treatment or salvage therapy, when looking at the crude general disease-free and overall survival. In other words, if laparoscopic surgery were not equivalent to open surgery in terms of oncological radicality when CC is to be treated, one may expect that the rate of local recurrences (at the level of the vaginal cuff, the pelvis, and the lymph nodes) is higher, irrespectively of the disease-free and overall survival.…”

Section: Discussionmentioning

confidence: 99%

Recurrence of Early Stage Cervical Cancer After Laparoscopic Versus Open Radical Surgery

Laterza¹,

Uccella

Casarin

et al. 2016

International Journal of Gynecological Cancer

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Implementation of laparoscopic approach for type B radical hysterectomy: A comparison with open surgical operations

Cited by 84 publications

References 28 publications

Prognostic and Safety Roles in Laparoscopic Versus Abdominal Radical Hysterectomy in Cervical Cancer: A Meta-analysis

Prognostic and Safety Roles in Laparoscopic Versus Abdominal Radical Hysterectomy in Cervical Cancer: A Meta-analysis

Practice guidelines for management of cervical cancer in Korea: a Korean Society of Gynecologic Oncology Consensus Statement

Recurrence of Early Stage Cervical Cancer After Laparoscopic Versus Open Radical Surgery

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