Minimally invasive surgery improves short-term outcomes of nerve-sparing radical hysterectomy in patients with cervical cancer: a propensity-matched analysis with open abdominal surgery / 부인종양
Journal of Gynecologic Oncology
; : e27-2019.
Article
em En
| WPRIM
| ID: wpr-740185
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVES:
Nerve-sparing radical hysterectomy has been implemented in order to reduce pelvic floor dysfunctions in women undergoing radical surgery for cervical cancer. Here, we aimed to investigate if the adoption of laparoscopic surgery impacts on patients' outcomes.METHODS:
Data of consecutive patients affected by cervical cancer who had laparoscopic nerve-sparing radical hysterectomy were matched 11 with an historical cohort of patients undergoing open procedure. A propensity-score matched algorithm was applied.RESULTS:
Thirty-five patients' pairs (70 patients 35 undergoing laparoscopic vs. 35 undergoing open abdominal nerve-sparing radical hysterectomy) were included. Demographic and baseline oncologic characteristics were balanced between groups. Patients undergoing laparoscopic surgery had similar operative time than patients undergoing open abdominal procedures (249 [±91.5] vs. 223 [±65.0] minutes; p=0.066). Laparoscopic approach correlated with lower blood loss (30.5 [±11.0] vs. 190 [90.4] mL; p < 0.001) and shorter hospital stay (3.2 [±1.2] vs. 5.4 [2.0] days; p=0.023). Patients undergoing laparoscopy experienced a lower 30-day pelvic floor dysfunction rate than patients having open surgery. Moreover, they experienced shorter recovery of bladder function than patients having open procedures (median, 7 vs. 9 days; p=0.004, log-rank test).CONCLUSIONS:
Laparoscopic approach resulted in a faster recovery of bladder function in comparison to open surgery for patients undergoing nerve-sparing radical hysterectomy.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Transtornos Urinários
/
Bexiga Urinária
/
Neoplasias do Colo do Útero
/
Estudos de Coortes
/
Laparoscopia
/
Diafragma da Pelve
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Duração da Cirurgia
/
Histerectomia
/
Tempo de Internação
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Journal of Gynecologic Oncology
Ano de publicação:
2019
Tipo de documento:
Article