Publication: Laparoscopic versus open radical hysterectomy in women with early stage cervical cancer: A systematic review and meta-analysis
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Issued Date
2020
Resource Type
File Type
application/pdf
ISSN
10284559
Other identifier(s)
2-s2.0-85085959149
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Taiwanese Journal of Obstetrics and Gynecology. Vol 59, No.4 (2020), p.481-488
Suggested Citation
Tantitamit T., Huang K.-G., Lee C.-L. Laparoscopic versus open radical hysterectomy in women with early stage cervical cancer: A systematic review and meta-analysis. Taiwanese Journal of Obstetrics and Gynecology. Vol 59, No.4 (2020), p.481-488. doi:10.1016/j.tjog.2020.05.003 Retrieved from: https://hdl.handle.net/20.500.14740/4514
Author(s)
Abstract
This review aimed to evaluate the short term and long-term outcomes of laparoscopic radical hysterectomy (LRH) versus abdominal radical hysterectomy (ARH) for early-stage cervical cancer. A search of PubMed, Medline and Scopus databased from 2000 to 2018 was conducted. Thirty studies were retrieved including 22 retrospective cohort studies and 8 prospective cohort studies. LRH was comparable with ARH in 5-year overall survival (RR = 1.0. 95%CI 0.98–1.03; p = 0.33) and 5-year disease-free survival (RR = 1.02 95%CI 0.97–1.06; p = 0.98). The majority of included studies reported the negative cancer factors which drive adjuvant therapy were similar between two approaches. LRH was associated with lower blood loss and blood transfusion, less postoperative complication, shorter hospital stays and similar intraoperative complication rate compared to ARH. Our data suggested LRH for early-stage cervical cancer was as safe and effective in terms of long-term outcomes, but with lower surgical morbidities. © 2020
Subject(s)
Bleeding
Blood transfusion
Cohort analysis
Disease free survival
Early cancer
Human
Information retrieval
Intermethod comparison
Laparoscopic surgery
Length of stay
Medline
Meta analysis
Overall survival
Postoperative complication
Radical hysterectomy
Review
Scopus
Systematic review
Uterine cervix cancer
Blood transfusion
Cohort analysis
Disease free survival
Early cancer
Human
Information retrieval
Intermethod comparison
Laparoscopic surgery
Length of stay
Medline
Meta analysis
Overall survival
Postoperative complication
Radical hysterectomy
Review
Scopus
Systematic review
Uterine cervix cancer