Robotic versus total laparoscopic radical hysterectomy with pelvic lymphadenectomy for the treatment of early cervical cancer
Journal Title: Journal of Medical and Scientific Research - Year 2013, Vol 1, Issue 2
Abstract
Background: The aim of this study is to compare the safety, morbidity, intra operative, pathologic and postoperative outcomes of Robotic radical hysterectomy (RRH) to total laparoscopic radical hysterectomy (TLRH) in patients with early stage cervical cancer. Materials and methods: All the women with newly diagnosed invasive cervical cancer (stage IA1 to IIA), who underwent TLRH or RRH with pelvic lymph node dissection at Krishna Institute of Medical Sciences from June 2010 to February 2013 were analyzed. Results: Twenty patients underwent TLRH with pelvic lymphadenectomy from June 2010 to September 2011.Sixteen patients underwent RRH with pelvic lymphadenectomy from October 2011 to February 2013. Age, tumor histology, stage, lymphovascular space involvement and nodal status are same for both the groups. No statistical differences were observed in operative time (174 vs. 158 min), estimated blood loss (160 vs. 110 ml), or hospital stay (3.1 vs. 2.8 days). Mean pelvic lymph node count was more in Robotic group. None of the robotic or laparoscopic procedures required conversion to laparotomy. All patients in both groups are alive and free of disease at the time of last follow up. Conclusions: According to our experience, robotic radical hysterectomy appears to be safe and effective therapeutic procedure for managing early-stage cervical cancer without significant differences when compared to TLRH, with respect to operative time, blood loss, hospital stay. Regarding the oncological outcome, Robotic radical hysterectomy is superior in terms of number of lymph nodes and parametrial bulk; although multicenter randomized clinical trials with longer follow-up are necessary to evaluate the overall oncologic outcome. We appreciate, the intuitive nature of the robotic approach, magnification, dexterity, and flexibility combined with significant reduction in surgeon's fatigue offered by the robotic system will allow more surgeons to use a minimally invasive approach to radical hysterectomy.
Authors and Affiliations
Jagdishwar GG, Kiranmai G, Vikas KMB, Arun K, Kaveri S
Keywords
Related Articles
- EP ID EP610551
- DOI 10.17727/JMSR.2013/1-011
- Views 78
- Downloads 0
Effect of tranexamic acid in perioperative blood loss associated with total knee replacement: Our experience
Introduction: Costs of allogeneic blood transfusions and the associated risks mandate strategies to reduce blood loss in surgery. The objective of this study was to assess the efficacy of anti-fibrinolytic treatment in r...
Audit of radiology request forms –“Are they adequately filled?”
The easiest and best way of communication between the Clinician and Radiologist is the radiograph request form. The physician seeking answers from the radiologist should give his requisites and relevant clinical data on...
Resistance pattern of enterococcal isolates, phenotypic characterization of vancomycin resistant isolates from various clinical samples in a tertiary care hospital
Introduction: Enterococci cause a multitude of infections and emergence of vancomycin resistance is of special concern, as it is the primary alternative drug to penicillin for treating Enterococcal infections. Objective...
Imaging of stress lesions of bones of the feet
The anatomy and arches of the feet are geared for maintaining the gait and locomotor movements.However, due to modern life styles, occupations such as sports and dances, there is excessive stress on the bones of the lowe...
Current trends in renal cell carcinoma
Kidney cancer is one of the most lethal urological malignancies and surgery was the only treatment of modality a decade ago. Open radical nephrectomy was the procedure of choice for long time for all malignant masses. Th...