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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Authors: 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
Format: article
Status:Published version
Publication Date:2021
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/181129
Online Access:https://hdl.handle.net/2445/181129
Access Level:Open access
Keyword:Càncer de coll uterí
Laparoscòpia
Cirurgia endoscòpica
Cervix cancer
Laparoscopy
Endoscopic surgery
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spelling Oncological Results of Laparoscopically Assisted Radical Vaginal Hysterectomy. Should we really abandon minimal invasive surgeryin early-stage cervical cancer?Torné Bladé, AureliPahisa Fábregas, JaumeOrdi i Majà, JaumeFusté, PereMartíDíaz Feijoo, BertaParedes Barranco, PilarRovirosa Casino, AngelesGaba, LydiaSaco, AdelaNicolau, CarlosCarreras Dieguez, Núria Agustí, NúriaVidal i Sicart, SergiGil Ibáñez, BlancaGlickman, ArielPino Saladrigues, Marta delCàncer de coll uteríLaparoscòpiaCirurgia endoscòpicaCervix cancerLaparoscopyEndoscopic surgeryBackground: 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.MDPI2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/181129Articles publicats en revistes (Fonaments Clínics)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/cancers13040846Cancers, 2021, vol. 13, num. 846https://doi.org/10.3390/cancers13040846cc-by (c) Torné Bladé, Aureli et al., 2021https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1811292026-05-27T06:46:51Z
dc.title.none.fl_str_mv Oncological Results of Laparoscopically Assisted Radical Vaginal Hysterectomy. Should we really abandon minimal invasive surgeryin early-stage cervical cancer?
title Oncological Results of Laparoscopically Assisted Radical Vaginal Hysterectomy. Should we really abandon minimal invasive surgeryin early-stage cervical cancer?
spellingShingle Oncological Results of Laparoscopically Assisted Radical Vaginal Hysterectomy. Should we really abandon minimal invasive surgeryin early-stage cervical cancer?
Torné Bladé, Aureli
Càncer de coll uterí
Laparoscòpia
Cirurgia endoscòpica
Cervix cancer
Laparoscopy
Endoscopic surgery
title_short Oncological Results of Laparoscopically Assisted Radical Vaginal Hysterectomy. Should we really abandon minimal invasive surgeryin early-stage cervical cancer?
title_full Oncological Results of Laparoscopically Assisted Radical Vaginal Hysterectomy. Should we really abandon minimal invasive surgeryin early-stage cervical cancer?
title_fullStr Oncological Results of Laparoscopically Assisted Radical Vaginal Hysterectomy. Should we really abandon minimal invasive surgeryin early-stage cervical cancer?
title_full_unstemmed Oncological Results of Laparoscopically Assisted Radical Vaginal Hysterectomy. Should we really abandon minimal invasive surgeryin early-stage cervical cancer?
title_sort Oncological Results of Laparoscopically Assisted Radical Vaginal Hysterectomy. Should we really abandon minimal invasive surgeryin early-stage cervical cancer?
dc.creator.none.fl_str_mv 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
author Torné Bladé, Aureli
author_facet 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
author_role author
author2 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
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Càncer de coll uterí
Laparoscòpia
Cirurgia endoscòpica
Cervix cancer
Laparoscopy
Endoscopic surgery
topic Càncer de coll uterí
Laparoscòpia
Cirurgia endoscòpica
Cervix cancer
Laparoscopy
Endoscopic surgery
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/181129
url https://hdl.handle.net/2445/181129
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/cancers13040846
Cancers, 2021, vol. 13, num. 846
https://doi.org/10.3390/cancers13040846
dc.rights.none.fl_str_mv cc-by (c) Torné Bladé, Aureli et al., 2021
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Torné Bladé, Aureli et al., 2021
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Articles publicats en revistes (Fonaments Clínics)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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