Analysis of abdominal vs . robotic radical hysterectomies for patients with cervical cancer: a Bulgarian experience

AbstractTo assess and compare the peri-operative, oncologic, and survival outcomes for women with cervical cancer (CC) treated with abdominal radical hysterectomy (ARH) versus robotic radical hysterectomy (RRH) approaches in Bulgaria. We retrospectively analyzed patients with histologically diagnosed CC operated via ARH or RRH methods during January-2008 to April-2019. The data analyzed include patients and tumor characteristics, peri-operative outcomes, and disease status. Kaplan –Meier method and Cox regression analysis were performed to determine disease-free survival (DFS) and overall survival (OS). There were consecutive 1347 patients (ARH = 1006, RRH = 341), which formed the basis of study analyses. Women in the RRH group had significantly shorter median hospi tal length-of-stay than ARH cases (7vs. 11  days,p <  0.001), higher post-operative hemoglobin (116vs. 108  g/L,p <  0.001), and fewer blood transfusions (7.3%vs. 21.5%,p <  0.001), respectively. The overall incidence of post-operative complications was also lower in the RRHvs. ARH group (2.1%vs. 9.4%,p <  0.001). Median follow-up time for ARHvs. RRH groups was 4.32vs. 5.24  years, respectively (p <  0.001). Kaplan–Meier analysis demonstrated that the RRH cohort had a significantly higher survival rate compared to the ARH group (CC-specific death 8.5%vs. 16.5% respectively). Mean time to recurrence did not differ significantly in either surgical approach (p = 0...
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research