Single center experience and consideration of robotic radical hysterectomy for early-stage cervical cancer

doi:10.3877/cma.j.issn.1674-6899.2019.04.009

Abstract

Abstract:

Objective

To investigate the safety and clinical outcomes of robotic surgery for early-stage cervical cancer.

Methods

Retrospective analysis of patient with early-stage cervical cancer(IA1-IB1) who were treated with robotic radical hysterectomy in Department of Obstetrics and Gynecology, Xijing Hospital of air force medical university, from Mar. 2014 to May 2016. The postoperative pathological and therapeutic conditions, and disease-free survival(DFS) and overall survive(OS) time of 3 or 5 years were analyzed.

Results

401 patients were followed up for 3 years. Among them, 14 cases died, OS was 96.5% in 3 years, 22 cases died of recurrence, and DFS was 94.6% in 3 years. Among them, 130 patients completed 5-year follow-up. And 8 of the 130 patients died, 5-year OS was 93.8%. A total of 9 patients died of recurrence, and the 5-year DFS was 93.1%.

Conclusions

Open surgery is undoubtedly the right choice, but it cannot completely deny the minimally invasive surgery, including robotic surgery. Further clinical trials are needed to evaluate its safety and clinical outcomes.

Key words: Robotic surgery, Early-stage cervical cancer, Disease-free survival, Overall survival

Yanhong Lyu, Xiangdong Ma, Shujuan Liu, Wei Zou, Jiajia Ma, Jia Li, Ru Jing, Biliang Chen. Single center experience and consideration of robotic radical hysterectomy for early-stage cervical cancer[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2019, 12(04): 231-235.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2019.04.009

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2019/V12/I04/231

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References 18

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治疗		例数	百分比	有效百分比	累计百分比
无辅助治疗		183	45.6	45.6	45.6
辅助治疗		218	?	?	?
?	单纯放疗	36	9.0	9.0	54.6
?	单纯化疗	38	9.5	9.5	64.1
?	化疗＋放疗	68	17.0	17.0	81.1
?	放疗＋化疗	2	0.5	0.5	81.6
?	化疗＋放疗＋巩固化疗	15	3.7	3.7	85.3
?	同步放疗、化疗	8	2.0	2.0	87.3
?	化疗＋同步放疗、化疗	36	9.0	9.0	96.3
?	同步放疗、化疗＋巩固化疗	2	0.5	0.5	96.8
?	化疗＋同步放疗、化疗＋巩固化疗	13	3.2	3.2	100.0
?	合计	401	100.0	100.0	?

治疗		例数	百分比	有效百分比	累计百分比
无辅助治疗		183	45.6	45.6	45.6
辅助治疗		218	?	?	?
?	单纯放疗	36	9.0	9.0	54.6
?	单纯化疗	38	9.5	9.5	64.1
?	化疗＋放疗	68	17.0	17.0	81.1
?	放疗＋化疗	2	0.5	0.5	81.6
?	化疗＋放疗＋巩固化疗	15	3.7	3.7	85.3
?	同步放疗、化疗	8	2.0	2.0	87.3
?	化疗＋同步放疗、化疗	36	9.0	9.0	96.3
?	同步放疗、化疗＋巩固化疗	2	0.5	0.5	96.8
?	化疗＋同步放疗、化疗＋巩固化疗	13	3.2	3.2	100.0
?	合计	401	100.0	100.0	?

项目		例数	百分比	有效百分比	累计百分比
复发病例		22	5.50	100.00	?
?	全身多处远处转移	7	1.75	31.80	31.80
?	阴道残端	4	1.00	18.20	50.00
?	不详	2	0.50	9.10	59.10
?	盆腔	2	0.50	9.10	68.20
?	肝脏	2	0.50	9.10	77.30
?	肺转移	2	0.50	9.10	86.40
?	骨转移	2	0.50	9.10	95.50
?	盆腹腔多处	1	0.25	4.50	100.00
未复发病例		379	94.50	?	?
合计		401	100.00	?	?

项目		例数	百分比	有效百分比	累计百分比
复发病例		22	5.50	100.00	?
?	全身多处远处转移	7	1.75	31.80	31.80
?	阴道残端	4	1.00	18.20	50.00
?	不详	2	0.50	9.10	59.10
?	盆腔	2	0.50	9.10	68.20
?	肝脏	2	0.50	9.10	77.30
?	肺转移	2	0.50	9.10	86.40
?	骨转移	2	0.50	9.10	95.50
?	盆腹腔多处	1	0.25	4.50	100.00
未复发病例		379	94.50	?	?
合计		401	100.00	?	?

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