The Role of Laparoscopic Radical Hysterectomy in Early-Stage Adenocarcinoma of the Uterine Cervix

Objective To compare long-term survival outcomes and patterns of recurrence of laparoscopic radical hysterectomy (LRH) and open radical hysterectomy (ORH) in early-stage cervical adenocarcinoma. Methods The medical records of 293 patients with stage IA2-IIA cervical adenocarcinomas who underwent rad...

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Bibliographic Details
Published in:Annals of surgical oncology 2016-12, Vol.23 (Suppl 5), p.825-833
Main Authors: Park, Jeong-Yeol, Kim, Daeyeon, Suh, Dae-Shik, Kim, Jong-Hyeok, Kim, Yong-Man, Kim, Young-Tak, Nam, Joo-Hyun
Format: Article
Language:English
Subjects:
Abscess - etiology
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Adult
Aged
Defecation
Disease-Free Survival
Female
Gynecologic Oncology
Humans
Hysterectomy - adverse effects
Hysterectomy - methods
Ileus - etiology
Laparoscopy - adverse effects
Length of Stay
Lymphedema - etiology
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Recurrence, Local
Neoplasm Staging
Oncology
Pelvis
Recovery of Function
Retrospective Studies
Surgery
Surgical Oncology
Surgical Wound Dehiscence - etiology
Survival Rate
Time Factors
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
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Summary:Objective To compare long-term survival outcomes and patterns of recurrence of laparoscopic radical hysterectomy (LRH) and open radical hysterectomy (ORH) in early-stage cervical adenocarcinoma. Methods The medical records of 293 patients with stage IA2-IIA cervical adenocarcinomas who underwent radical hysterectomy were retrospectively reviewed. Results In total, 186 patients underwent LRH and 107 underwent ORH. There was no difference between the two surgery groups in clinicopathologic characteristics. There were no differences in disease-free survival (DFS) and overall survival (OS) between the LRH and ORH groups (88.7 vs. 84.1 %, P  = 0.725; and 93.0 vs. 86.9 %, P  = 0.735) for univariate analysis and multivariate analysis after adjusting for other significant prognostic factors. There was no difference in the patterns of recurrence between the two surgery groups ( P  = 0.220). The median time interval between surgery and the first recurrence were 25 months (range, 3–100 months) for LRH group and 14 months (range, 3–128 months) for ORH group ( P  = 0.230). The LRH group showed significantly fewer postoperative complications ( P  
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-016-5489-4