ASO Visual Abstract: Carcinomatosis in Early-Stage Cervical Cancer Treated with Robotic Radical Hysterectomy—Recurrence Patterns, Risk Factors, and Survival

2021 ◽  
Author(s):  
Christine K. Fitzsimmons ◽  
Amanda J. Stephens ◽  
Jessica A. Kennard ◽  
Madhavi Manyam ◽  
Julie W. Pepe ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Radical Hysterectomy ◽  
Early Stage ◽  
Robotic Radical Hysterectomy ◽  
Early Stage Cervical Cancer ◽  
Recurrence Patterns

scholarly journals Risk Factors for Recurrence after Robot-Assisted Radical Hysterectomy for Early-Stage Cervical Cancer: A Multicenter Retrospective Study

Cancers ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3387
Author(s):  
Jordi Ponce ◽  
Sergi Fernandez-Gonzalez ◽  
Antonio Gil-Moreno ◽  
Pluvio J. Coronado ◽  
Jesús De la Rosa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Radical Hysterectomy ◽  
Tumor Size ◽  
Early Stage ◽  
Tumor Grade ◽  
Robot Assisted ◽  
Invasive Approach ◽  
Early Stage Cervical Cancer ◽  
Risk Factors For Recurrence

This retrospective analysis aimed to assess the risk factors for recurrence in patients diagnosed with early-stage cervical cancer (≤IB1 or IIA1, FIGO 2009) undergoing robot-assisted radical hysterectomy in Spain and Portugal between 2009 and 2018. A second primary objective was to audit the oncological outcomes according to quality indicators (QI) proposed by the European Society of Gynecology Oncology (ESGO). The study population included 239 women. After a median follow-up of 51 months, recurrence occurred in 26 patients (10.9%). Independent factors for recurrence were clinical tumor size > 20 mm (hazard ratio (HR) 2.37), adenocarcinoma as histological type (HR 2.51), positive pelvic lymph nodes (HR 4.83), tumor grade 2 (HR 4.99), tumor grade 3 (HR 8.06), and having not performed sentinel lymph node biopsy (SLNB) (HR 4.08). All 5 QI selected were surpassed by our results. In patients with early-stage cervical cancer undergoing robotic radical hysterectomy, clinicians should be aware that tumor grade 2 and 3, tumor size > 20 mm, adenocarcinoma, positive pelvic nodes, and lack of performance of SLNB are risk factors for recurrence. Fulfillment of QI targets of the ESGO might be considered as an objective oncological outcome indicator supporting the minimally invasive approach for early-stage cervical cancer treatment.

scholarly journals Laparoscopic Radical Hysterectomy for Early-stage Cervical Cancer

2009 ◽  
Vol 05 (01) ◽  
pp. 90
Author(s):  
Erin R King ◽  
Pedro T Ramirez ◽  
◽  
Keyword(s):  
Cervical Cancer ◽  
Depth Perception ◽  
Radical Hysterectomy ◽  
Early Stage ◽  
Surgical Instruments ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Laparoscopic Radical Hysterectomy ◽  
Robotic Radical Hysterectomy ◽  
Early Stage Cervical Cancer

Total laparoscopic radical hysterectomy (TLRH) for early-stage cervical cancer is a safe and feasible procedure. The advantages over abdominal radical hysterectomy (ARH) include shorter operating times, less blood loss, lower transfusion rates, and a shorter hospital stay. Robotic radical hysterectomy (RRH) offers an alternate minimally invasive approach to performing radical hysterectomy. Robotic surgery provides improved depth perception, a greater range of motion of surgical instruments, decreased tremor, and improved ergonomics compared with laparoscopic surgery.

scholarly journals Increased Institutional Surgical Experience in Robot-Assisted Radical Hysterectomy for Early Stage Cervical Cancer Reduces Recurrence Rate: Results from a Nationwide Study

2020 ◽  
Vol 9 (11) ◽  
pp. 3715 ◽  
Author(s):  
Linnea Ekdahl ◽  
Emelie Wallin ◽  
Emilia Alfonzo ◽  
Petur Reynisson ◽  
Celine Lönnerfors ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Radical Hysterectomy ◽  
Early Stage ◽  
Surgical Experience ◽  
Recurrence Rates ◽  
Robotic Radical Hysterectomy ◽  
Clear Cut ◽  
Early Stage Cervical Cancer ◽  
The Impact ◽  
Radio Chemotherapy

The aim of this study was to evaluate the impact of institutional surgical experience on recurrence following robotic radical hysterectomy (RRH) for early stage cervical cancer. All women in Sweden who underwent an RRH for stage IA2-IB1 cervical cancer at tertiary referral centers from its implementation in December 2005 until June 2017 were identified using a Swedish nationwide register and local hospital registers. Registry data were controlled by a chart review of all women. Recurrence rates and patterns of recurrence were compared between early and late (≤50 vs. >50 procedures) institutional series. Six hundred and thirty-five women were included. Regression analysis identified a lower risk of recurrence with increased experience but without a clear cut off level. Among the 489 women who did not receive adjuvant radio chemotherapy (RC-T), the rate of recurrence was 3.6% in the experienced cohort (>50 procedures) compared to 9.3% in the introductory cohort (p < 0.05). This was also seen in tumors < 2 cm regardless of RC-T (p < 0.05), whereas no difference in recurrence was seen when analyzing all women receiving RC-T. In conclusion, the rate of recurrence following RRH for early stage cervical cancer decreased with increased institutional surgical experience, in tumors < 2 cm and in women who did not receive adjuvant RC-T.

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