【摘 要】
：
In this study, perioperative outcomes and survival data in patients with cervical cancer operated with three surgical methods: robot-assisted, laparoscopic and open, are to be analyzed.From January 20
【机 构】
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Gynecologic Oncology Clinic Medical University-Pleven Bulgaria
【出 处】
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BITs 3rd Annual World Cancer Congress-2012(2012第五届世界癌症大会)
论文部分内容阅读
In this study, perioperative outcomes and survival data in patients with cervical cancer operated with three surgical methods: robot-assisted, laparoscopic and open, are to be analyzed.From January 2006 to May 2010, 294 patients with T1b1 cervical cancer were studied retrospectively.Robot-assisted radical hysterectomy (RARH) was performed in 73 (24.8%) of them, laparoscopic-assisted radical vaginal hysterectomy (LARVH) in 46 (15.6%) and, in 175, (59.5%)abdominal radical hysterectomy (ARH).Mean hospital stay of patients with RARH and LARVH was 4.1±0.7 and 4.8±0.5, respectively, and of those with ARH, 9.6±1.0 days (p=0.001).Mean operative time was 152.2±26.5 min for the robotic group as it was significantly shorter in comparison with the laparoscopic group (232.1 ±61.7 min) and laparotomy group (168.2±31.1 min) (p=0.001).The application of Cox regression analysis found that the regional lymph node metastases were of significant value for disease-free survival (DSF), and the nodal status and recurrence presence-for overall survival (OS).Type of surgical procedure did not influence DSF, as well as OS.RARH has been established to be a safe procedure with proven advantages in regard to operative time and hospital stay.The absence of significant differences in DSF and OS is a substantial reason to continue, from an oncologic point of view,the application of this method on patients with T1b1 cervical cancer.
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