Dokumentdetails
ID
doi:10.1186/s12957-023-03051-4...
Autor
Zhang, Nina Jin, Xiangshu Yang, Wen Gu, Chenglei Li, Li’an Xu, Jia Tang, Qiting Fan, Wensheng Meng, YuanguangLangue
enEditor
BioMed Central
Kategorie
Medicine & Public Health
Jahr
2023
Auflistungsdatum
05.07.2023
Schlüsselwörter
cervical cancer arh lrh rrh vrh survival early-stage study cancer cervical 5-year os vrh hysterectomy radical rrh lrh arh survivalZusammenfassung
Background This study compared the survival outcomes of abdominal radical hysterectomy (ARH) ( N = 32), laparoscopic radical hysterectomy (LRH) ( N = 61), robot-assisted radical hysterectomy (RRH) ( N = 100) and vaginal radical hysterectomy (VRH) ( N = 45) approaches for early-stage cervical cancer to identify the surgical approach that provides the best survival.
Methods Disease-free survival (DFS) and overall survival (OS) were calculated using the Kaplan–Meier method, and survival curves were compared using the log-rank test.
Results The volume of intraoperative blood loss was greater in the ARH group than in the LRH group, the RRH group or the VRH group [(712.50 ± 407.59) vs. (224.43 ± 191.89), (109.80 ± 92.98) and (216.67 ± 176.78) ml, respectively; P < 0.001].
Total 5-year OS was significantly different among the four groups (ARH, 96.88%; LRH, 82.45%; RRH, 94.18%; VRH, 91.49%; P = 0.015).
However, no significant difference in 5-year DFS was observed among the four groups (ARH, 96.88%; LRH, 81.99%; RRH, 91.38%; VRH, 87.27%; P = 0.061).
Conclusion This retrospective study demonstrated that ARH and RRH achieved higher 5-year OS rates than LRH for early-stage cervical cancer.
Zhang, Nina,Jin, Xiangshu,Yang, Wen,Gu, Chenglei,Li, Li’an,Xu, Jia,Tang, Qiting,Fan, Wensheng,Meng, Yuanguang, 2023, Survival outcomes of abdominal radical hysterectomy, laparoscopic radical hysterectomy, robot-assisted radical hysterectomy and vaginal radical hysterectomy approaches for early-stage cervical cancer: a retrospective study, BioMed Central
