Role of minimally invasive surgery versus open approach in patients with early-stage uterine carcinosarcomas: a retrospective multicentric study

Objective The aim of this retrospective study was to compare surgical and survival outcome in only patients with early-stage UCSs managed by laparotomic surgery (LPT) versus minimally invasive surgery (MIS). Methods Data were retrospectively collected in four Italian different institutions. Inclusio...

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Bibliographic Details
Published in:Journal of cancer research and clinical oncology 2021-03, Vol.147 (3), p.845-852
Main Authors: Corrado, Giacomo, Ciccarone, Francesca, Cosentino, Francesco, Legge, Francesco, Rosati, Andrea, Arcieri, Martina, Turco, Luigi Carlo, Certelli, Camilla, Federico, Alex, Vizza, Enrico, Fanfani, Francesco, Scambia, Giovanni, Ferrandina, Gabriella
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cancer Research
Carcinosarcoma - pathology
Carcinosarcoma - surgery
Chemotherapy, Adjuvant
Female
Hematology
Humans
Hysterectomy - methods
Internal Medicine
Laparoscopy
Laparotomy - adverse effects
Laparotomy - methods
Lymph Nodes - pathology
Lymphatic Metastasis
Medicine
Medicine & Public Health
Middle Aged
Minimally invasive surgery
Minimally Invasive Surgical Procedures - adverse effects
Minimally Invasive Surgical Procedures - methods
Neoplasm Recurrence, Local - pathology
Neoplasm Staging
Oncology
Original Article – Clinical Oncology
Original – Clinical Oncology
Patients
Postoperative Complications - etiology
Radiotherapy, Adjuvant
Retrospective Studies
Surgery
Survival
Treatment Outcome
Uterine Neoplasms - pathology
Uterine Neoplasms - surgery
Uterus
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Summary:Objective The aim of this retrospective study was to compare surgical and survival outcome in only patients with early-stage UCSs managed by laparotomic surgery (LPT) versus minimally invasive surgery (MIS). Methods Data were retrospectively collected in four Italian different institutions. Inclusion criteria were UCS diagnosis confirmed by the definitive histological examination, and stage I or II according to the FIGO staging system. Results Between August 2000 and March 2019, the data relative to 170 patients bearing UCSs were collected: of these, 95 were defined as early-stage disease (stage I–II) based on the histological report at the primary surgery, and thus were included in this study. Forty-four patients were managed by LPT, and 51 patients were managed by MIS. The operative time was lower in the MIS group versus the LPT group ( p value 0.021); the median estimated blood loss was less in the MIS group compared to the median of LPT group ( p value 
ISSN:0171-5216
1432-1335
DOI:10.1007/s00432-020-03372-x