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Effect of laparoscopic vs abdominal radical hysterectomy on major surgical complications in women with stage IA-IIB cervical cancer in China, 2004–2015

Gynecologic Oncology Dec 14, 2019

Liang C, Liu P, Cui Z, et al. - Using the major surgical complications of cervical cancer in China database, researchers analyzed trends in surgical approaches as well as compared the major surgical complication rates of laparoscopic and abdominal radical hysterectomy for cervical cancer. This study included 18,447 patients with cervical cancer who had radical hysterectomy from 2004 to 2015 at 37 hospitals. Laparoscopic surgery was performed on 5,491 (29.8%) patients and abdominal surgery was performed on 12,956 (70.2%). They reported a rise in the proportion of laparoscopic surgery, from 0.35% in 2004 to 49.31% in 2015. They identified more major surgical complications, particularly intraoperative ureteral injury and postoperative fistula, related to laparoscopic surgery vs abdominal surgery among women with cervical cancer.
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