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Minimally invasive surgery vs laparotomy for radical hysterectomy in the management of early-stage cervical cancer: Survival outcomes

Gynecologic Oncology Mar 07, 2020

Brandt B, Sioulas V, Basaran D, et al. - Researchers compared minimally invasive surgery (MIS) vs laparotomy as a management option for newly diagnosed early-stage cervical carcinoma, focusing on oncologic and perioperative outcomes in patients. They analyzed 196 evaluable patients: 117 MIS (106 robotic [90.6%]) and 79 laparotomy cases. A median follow-up of ~4 years was performed. In the MIS group and in the laparotomy group, the 5-year disease-free survival rates were estimated to be 87.0% and 86.6%, respectively; 5-year disease-specific survival rates were 96.5% and 93.9%, respectively; and 5-year overall survival rates were identified as 96.5% and 87.4%, respectively. Overall, in this single-center and concurrent series of patients suffering from early-stage cervical carcinoma, no worse oncologic outcomes were afforded by MIS radical hysterectomy.
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