Robot-Assisted Radical Hysterectomy in Cervical Carcinoma: The Belgian Experience.

peer reviewed ; [en] OBJECTIVE: The purpose of this study was to report the experience and oncological outcome of robot-assisted radical hysterectomies (RRHs) for cervical cancer performed in Belgium. METHODS: Patients undergoing RRH for cervical cancer (n = 109) were prospectively collected between July 2007 and April 2014 in the 5 Belgian centers performing RRH for cervical cancer. RESULTS: The median age of the patients was 46 years (range, 31-80 years). Histological types included squamous cell carcinoma in 61 patients, adenocarcinoma in 22 patients, adenosquamous in 8 patients, endometrio... Mehr ...

Verfasser: Segaert, An
Traen, Koen
Van Trappen, Philippe
Peeters, Frederik
Leunen, Karin
Goffin, Frédéric
Vergote, Ignace
Dokumenttyp: journal article
Erscheinungsdatum: 2015
Verlag/Hrsg.: Lippincott Williams and Wilkins
Schlagwörter: Adult / Aged / 80 and over / Belgium / Blood Loss / Surgical / Carcinoma/secondary / Carcinoma/therapy / Combined Modality Therapy / Disease-Free Survival / Female / Follow-Up Studies / Humans / Hysterectomy/adverse effects / Hysterectomy/methods / Middle Aged / Neoplasm Recurrence / Local/therapy / Neoplasm Staging / Operative Time / Retrospective Studies / Survival Rate / Uterine Cervical Neoplasms/pathology / Uterine Cervical Neoplasms/therapy / Robotic Surgical Procedures/adverse effects / Cervical cancer / Radical hysterectomy / Robot-assisted management / Carcinoma / Hysterectomy / Local / Robotic Surgical Procedures / Uterine Cervical Neoplasms / Oncology / Obstetrics and Gynecology / Human health sciences / Reproductive medicine (gynecology / andrology / obstetrics) / Sciences de la santé humaine / Médecine de la reproduction (Gynécologie / andrologie / obstétrique)
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26535480
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://orbi.uliege.be/handle/2268/309160

peer reviewed ; [en] OBJECTIVE: The purpose of this study was to report the experience and oncological outcome of robot-assisted radical hysterectomies (RRHs) for cervical cancer performed in Belgium. METHODS: Patients undergoing RRH for cervical cancer (n = 109) were prospectively collected between July 2007 and April 2014 in the 5 Belgian centers performing RRH for cervical cancer. RESULTS: The median age of the patients was 46 years (range, 31-80 years). Histological types included squamous cell carcinoma in 61 patients, adenocarcinoma in 22 patients, adenosquamous in 8 patients, endometrioid carcinoma in 2 patients, and other types (n = 16). The International Federation of Gynecology and Obstetrics stage distribution was IA (n = 9), stage IB1 (n = 71), stage IB2 (n = 4), stage II (n = 24), and unknown (n = 1). Twenty-four patients received adjuvant therapy, 17 patients underwent radiochemotherapy, and 7 underwent adjuvant radiation. Eighteen patients relapsed, and 5 died of disease. The median follow-up was 27.5 months (range, 3-82 months). The 2- and 5-year overall survivals were 96% and 89%, respectively. The 2- and 5-year disease-free survivals (DFSs) were 88% and 72%, respectively. The 2-year DFS per stage was 100% for IA, 88% for IB1, 100% for IB2, and 83% for II. The 5-year DFS per stage was 100% for stage IA and 75% for IB1. The complications were as expected for radical hysterectomy. CONCLUSIONS: This series confirms the feasibility and safety of RRH not only in cervical cancer stage IA to IB1, but also after neoadjuvant chemotherapy in stage IB2 to IIB.