Oncological Results of Laparoscopically Assisted Radical Vaginal Hysterectomy. Should we really abandon minimal invasive surgeryin early-stage cervical cancer?

Background: Recent evidence indicates that some minimally invasive surgery approaches, such as laparoscopic and robotic-assisted radical hysterectomy, offer lower survival rates to patients with early-stage cervical cancer than open radical hysterectomy. We evaluated the oncological results of a dif...

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Detalhes bibliográficos
Autores: Torné Bladé, Aureli, Pahisa Fábregas, Jaume, Ordi i Majà, Jaume, Fusté, Pere, Martí, Díaz Feijoo, Berta, Paredes Barranco, Pilar, Rovirosa Casino, Angeles, Gaba, Lydia, Saco, Adela, Nicolau, Carlos, Carreras Dieguez, Núria, Agustí, Núria, Vidal i Sicart, Sergi, Gil Ibáñez, Blanca, Glickman, Ariel, Pino Saladrigues, Marta del
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2021
País:España
Recursos:Universidad de Barcelona
Repositório:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/181129
Acesso em linha:https://hdl.handle.net/2445/181129
Access Level:Acceso aberto
Palavra-chave:Càncer de coll uterí
Laparoscòpia
Cirurgia endoscòpica
Cervix cancer
Laparoscopy
Endoscopic surgery
Descrição
Resumo:Background: Recent evidence indicates that some minimally invasive surgery approaches, such as laparoscopic and robotic-assisted radical hysterectomy, offer lower survival rates to patients with early-stage cervical cancer than open radical hysterectomy. We evaluated the oncological results of a different minimally invasive surgery approach, that of laparoscopically assisted radical vaginal hysterectomy (LARVH) in this setting. Methods: From January 2001 to December 2018, patients with early-stage cervical cancer were treated by LARVH. Colpotomy and initial closure of the vagina were performed following the Schauta operation, avoiding manipulation of the tumor. Laparoscopic sentinel lymph node (SLN) biopsy was performed in all cases. Women treated between 2001 and 2011 also underwent pelvic lymphadenectomy. Results: There were 115 patients included. Intraoperative complications occurred in nine patients (7.8%). After a median follow-up of 87.8 months (range 1-216), seven women (6%) presented recurrence. Four women died (mortality rate 3.4%). The 3- and 4.5-year disease-free survival rates were 96.7% and 93.5%, respectively, and the overall survival was 97.8% and 94.8%, respectively. Conclusion: LARVH offers excellent disease-free and overall survival in women with early-stage cervical cancer and can be considered as an adequate minimally invasive surgery alternative to open radical hysterectomy.

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