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Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience

BACKGROUND: The radical hysterectomy (RH) surgical technique has improved along the years. It is used for the treatment of cervical cancer, endometrial cancer when affecting the cervix, and upper vaginal carcinomas. Our aim was to describe the historical evolution of the technique after the introduc...

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Autores principales: Arispe, Claudia, Pomares, Ana Isabel, Santiago, Javier De, Zapardiel, Ignacio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4865614/
https://www.ncbi.nlm.nih.gov/pubmed/27199519
http://dx.doi.org/10.21147/j.issn.1000-9604.2016.02.09
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author Arispe, Claudia
Pomares, Ana Isabel
Santiago, Javier De
Zapardiel, Ignacio
author_facet Arispe, Claudia
Pomares, Ana Isabel
Santiago, Javier De
Zapardiel, Ignacio
author_sort Arispe, Claudia
collection PubMed
description BACKGROUND: The radical hysterectomy (RH) surgical technique has improved along the years. It is used for the treatment of cervical cancer, endometrial cancer when affecting the cervix, and upper vaginal carcinomas. Our aim was to describe the historical evolution of the technique after the introduction of laparoscopy at our institution. METHODS: We performed a retrospective review of medical records of patients who underwent RH, grouped in three periods according to the year of surgery: 1990-1999, 2000-2009 and 2010-2013. Patients?characteristics, pathologic details, intraoperative and postoperative complications were analyzed and compared throughout the time periods. RESULTS: A total of 102 cases of RH were performed at our center during the study period. Among all data collected, the presence of necrosis, age, number of lymph nodes, surgery route, operating time, hospital stay, blood loss and transfusion requirement were statistically significant different among groups. Conversion to laparotomy rate was 19% for the second period compared to the absence of cases in the last one. No significant differences (P=0.124) were observed in the adjuvant treatment received among the three different groups. At the time of the last contact the patients free of disease were 12 (85.7%), 53 (91.3%) and 26 (86.6%) respectively (P=0.406). Regarding the disease-free interval, we found significant better outcomes in the group of laparotomy compared to laparoscopy (P=0.015). CONCLUSIONS: Laparoscopic RH is an acceptable surgery with advantages like magnified vision of the operation抯 field, lower surgical complications, shorter hospital stay and earlier resumption to daily activities.
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spelling pubmed-48656142016-05-19 Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience Arispe, Claudia Pomares, Ana Isabel Santiago, Javier De Zapardiel, Ignacio Chin J Cancer Res Original Article on Cervical Cancer BACKGROUND: The radical hysterectomy (RH) surgical technique has improved along the years. It is used for the treatment of cervical cancer, endometrial cancer when affecting the cervix, and upper vaginal carcinomas. Our aim was to describe the historical evolution of the technique after the introduction of laparoscopy at our institution. METHODS: We performed a retrospective review of medical records of patients who underwent RH, grouped in three periods according to the year of surgery: 1990-1999, 2000-2009 and 2010-2013. Patients?characteristics, pathologic details, intraoperative and postoperative complications were analyzed and compared throughout the time periods. RESULTS: A total of 102 cases of RH were performed at our center during the study period. Among all data collected, the presence of necrosis, age, number of lymph nodes, surgery route, operating time, hospital stay, blood loss and transfusion requirement were statistically significant different among groups. Conversion to laparotomy rate was 19% for the second period compared to the absence of cases in the last one. No significant differences (P=0.124) were observed in the adjuvant treatment received among the three different groups. At the time of the last contact the patients free of disease were 12 (85.7%), 53 (91.3%) and 26 (86.6%) respectively (P=0.406). Regarding the disease-free interval, we found significant better outcomes in the group of laparotomy compared to laparoscopy (P=0.015). CONCLUSIONS: Laparoscopic RH is an acceptable surgery with advantages like magnified vision of the operation抯 field, lower surgical complications, shorter hospital stay and earlier resumption to daily activities. AME Publishing Company 2016-04 /pmc/articles/PMC4865614/ /pubmed/27199519 http://dx.doi.org/10.21147/j.issn.1000-9604.2016.02.09 Text en Copyright 2016 Chinese Journal of Cancer Research http://creativecommons.org/licenses/by-nc-sa/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/
spellingShingle Original Article on Cervical Cancer
Arispe, Claudia
Pomares, Ana Isabel
Santiago, Javier De
Zapardiel, Ignacio
Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience
title Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience
title_full Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience
title_fullStr Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience
title_full_unstemmed Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience
title_short Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience
title_sort evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience
topic Original Article on Cervical Cancer
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4865614/
https://www.ncbi.nlm.nih.gov/pubmed/27199519
http://dx.doi.org/10.21147/j.issn.1000-9604.2016.02.09
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