Comparison of oncological outcomes and major complications between laparoscopic radical hysterectomy and abdominal radical hysterectomy for stage IB1 cervical cancer with a tumour size less than 2 cm

To compare the oncological outcomes and major complications of laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH) for stage IB1 cervical cancer (FIGO 2009) with a tumour size less than 2 cm. We retrospectively compared the oncological outcomes and major complications of...

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Bibliographic Details
Published in:European journal of surgical oncology 2021-08, Vol.47 (8), p.2125-2133
Main Authors: Li, Zhiqiang, Chen, Chunlin, Liu, Ping, Duan, Hui, Liu, Mubiao, Xu, Yan, Li, Pengfei, Zhang, Wenling, Jiang, Haixia, Bin, Xiaonong, Lang, Jinghe
Format: Article
Language:English
Subjects:
Abdominal radical hysterectomy
Cervical cancer
Laparoscopic radical hysterectomy
Major complications
Oncological outcomes
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Summary:To compare the oncological outcomes and major complications of laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH) for stage IB1 cervical cancer (FIGO 2009) with a tumour size less than 2 cm. We retrospectively compared the oncological outcomes and major complications of 1207 stage IB1 cervical cancer patients with a tumour size less than 2 cm who received LRH (n = 546) or ARH (n = 661) in 37 hospitals. (1) There was no significant difference in 3-year overall survival (OS; 97.3% vs. 98.5%, P = 0.288) or 3-year disease-free survival (DFS; 95.1% vs. 95.4%, P = 0.792) between LRH (n = 546) and ARH (n = 661).(2) The rate of any 1 complication refers to the incidence of one or more complications in a patient, which was higher with LRH than ARH (OR = 4.047, 95% CI = 2.035–8.048, P 
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2021.03.238