Oncologic Results and Surgical Morbidity of Laparoscopic Nerve-Sparing Radical Hysterectomy in the Treatment of FIGO Stage IB Cervical Cancer: Long-Term Follow-Up

Park, Nae Yoon; Chong, Gun Oh; Hong, Dae Gy; Cho, Young Lae; Park, Il Soo; Lee, Yoon Soon

doi:10.1097/igc.0b013e31820731bb

Cited by 36 publications

(35 citation statements)

References 21 publications

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“…In support of this, several other studies have found that blood loss and the length of hospitalization were significantly reduced when undergoing an RRH surgery. 20,26,30 Contrary to this result, another study reported no benefit of RRH over TLRH treatment for cervical cancer patients. 13 In comparison with previously published reports, we have looked at many Data are presented as mean T SD or as percentage (%) of the total number (n).…”

Section: Discussioncontrasting

confidence: 42%

“…16,20 In contrast to this, other studies have demonstrated that no significant benefits exist comparing the RRH and TLRH procedure. 23,24 Based on these contradictory findings larger studies are required to compare RRH with TLRH treatment to evaluate the benefits of this expensive surgical procedure.…”

Section: Discussionmentioning

confidence: 44%

“…In addition, RRH and TLRH procedures result in fewer intraoperative and postoperative complications compared with the traditional radical hysterectomy. 7,16,20 Similar to blood loss, the number of complications within each group is highly variable and dependent on previous experience of the surgeon with laparoscopy.…”

Section: International Journal Of Gynecologicalmentioning

confidence: 99%

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Robotic-Assisted Radical Hysterectomy Results in Better Surgical Outcomes Compared to the Traditional Laparoscopic Radical Hysterectomy for the Treatment of Cervical Cancer

Nie

Liu

2017

Journal of Minimally Invasive Gynecology

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Objective: The aim of this study was to compare the surgical outcomes of robotic-assisted radical hysterectomy (RRH) with traditional laparoscopic radical hysterectomy (TLRH) for the treatment of early-stage cervical cancer in a large retrospective cohort of a total of 933 patients. Methods: We have enrolled 100 patients into the RRH and 833 patients into the TLRH group. The surgical outcomes include operating time, blood loss, transfusion rate, pelvic lymph node yield, hospitalization days, duration of bowel function recovery, catheter removal before and after 3 weeks, conversion to laparotomy, and intraoperative and postoperative complications. Follow-up results were also analyzed for all patients. Results: Both groups have similar patient and tumor characteristics but patients with a larger lesion size were preferably enrolled in the TLRH treatment group. The treatment with RRH was generally superior to TLRH with respect to operating time, blood loss, length of hospitalization, duration of bowel function recovery, and postoperative complications. On follow-up of patients, there were no relapses reported in the RRH group compared with 4% of relapse cases and 2.9% of deaths because of metastasis in the TLRH group. No conversion of laparotomy occurred in the RRH group. No significant difference was found with respect to intraoperative complications and blood transfusion between both groups. Conclusions: The results from this study suggest that RRH is superior to TLRH with regard to surgical outcome and may pose a safe and feasible alternative to TLRH. The operating time and lymph node yield is acceptable. Our study is one of the largest single-center studies of surgical outcomes comparing RRH with TLRH during cervical cancer treatment and will significantly contribute to the safety of alternative treatment options for patients. Furthermore, the difference detected between TLRH and RRH group is further strengthened by the great expertise of the surgeon performing laparoscopic surgeries.

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Section: Discussioncontrasting

confidence: 42%

Section: Discussionmentioning

confidence: 44%

Section: International Journal Of Gynecologicalmentioning

confidence: 99%

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Robotic-Assisted Radical Hysterectomy Results in Better Surgical Outcomes Compared to the Traditional Laparoscopic Radical Hysterectomy for the Treatment of Cervical Cancer

Nie

Liu

2017

Journal of Minimally Invasive Gynecology

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“…However, with the increasing use of advanced technology, more complex surgeries are now being performed laparoscopically. Due to their complexity, the average time of these type of laparoscopic operations are usually greater than three hours (Fagevik Olsen M 1999, Kuo et al 2013, Park et al 2011. In these studies, the PPC incidence between open and laparoscopic surgery is similar, suggesting that there may be an increased PPC risk in prolonged laparoscopic surgery (Kuo et al 2013, Park et al 2011.…”

Section: Postoperative Breathing Exercisesmentioning

confidence: 66%

“…Due to their complexity, the average time of these type of laparoscopic operations are usually greater than three hours (Fagevik Olsen M 1999, Kuo et al 2013, Park et al 2011. In these studies, the PPC incidence between open and laparoscopic surgery is similar, suggesting that there may be an increased PPC risk in prolonged laparoscopic surgery (Kuo et al 2013, Park et al 2011. This needs to be confirmed with prospective observational studies to enable risk prediction models to be developed, which will in turn assist physiotherapists and hospitals to determine which patients require targeted PPC prophylaxis following these newer types of procedures.…”

Section: Postoperative Breathing Exercisesmentioning

confidence: 99%

The physiotherapy management of patients undergoing abdominal surgery

Reeve¹,

Boden²

2016

NZJP

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Abdominal surgery is performed to remove cancerous tissue, to resolve visceral tissue perforations or to remove inflammatory bowel segments, benign growths or vascular aneurysms. Postoperative complications, including pulmonary complications, are common following abdominal surgery and physiotherapy aims to prevent and treat many of these complications. Much of the literature investigating physiotherapy interventions is over a decade old and advances in surgery, including minimally invasive surgery and fast track pathways, require physiotherapists to re-evaluate their practices. This narrative review aims to examine the evidence investigating the effectiveness of physiotherapy interventions and apply this to contemporary surgical practices. Recommendations for practice and research are outlined.

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Bladder function after radical hysterectomy for cervical cancer

Laterza

Sievert

Ridder

et al. 2014

Neurourol. Urodynam.

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Nerve-sparing techniques appear to improve bladder function without compromising overall survival. Studies comparing the effects of nerve-sparing radical hysterectomy with standard surgery yielded encouraging results in respect of postoperative lower urinary tract function. Clinical trials with a long period of follow-up are required for better comprehension of the complex pathophysiology of bladder dysfunction after radical hysterectomy.

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Oncologic Results and Surgical Morbidity of Laparoscopic Nerve-Sparing Radical Hysterectomy in the Treatment of FIGO Stage IB Cervical Cancer: Long-Term Follow-Up

Cited by 36 publications

References 21 publications

Robotic-Assisted Radical Hysterectomy Results in Better Surgical Outcomes Compared to the Traditional Laparoscopic Radical Hysterectomy for the Treatment of Cervical Cancer

Robotic-Assisted Radical Hysterectomy Results in Better Surgical Outcomes Compared to the Traditional Laparoscopic Radical Hysterectomy for the Treatment of Cervical Cancer

The physiotherapy management of patients undergoing abdominal surgery

Bladder function after radical hysterectomy for cervical cancer

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