1. Vaginal-assisted laparoscopic radical hysterectomy (VALRH) versus laparoscopic-assisted radical vaginal hysterectomy (LARVH) in the treatment of cervical cancer: surgical results and oncologic outcome
- Author
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Elisabeth von Tucher, Christhardt Köhler, Verena Brink-Spalink, Ulrike Grittner, Malgorzata Lanowska, Achim Schneider, and Mandy Mangler
- Subjects
Adult ,medicine.medical_specialty ,Intraoperative Complication ,Adolescent ,medicine.medical_treatment ,Matched-Pair Analysis ,Operative Time ,Urology ,Blood Loss, Surgical ,Urination ,Uterine Cervical Neoplasms ,Disease-Free Survival ,Young Adult ,Postoperative Complications ,Laparotomy ,medicine ,Hysterectomy, Vaginal ,Humans ,Blood Transfusion ,Prospective Studies ,Radical Hysterectomy ,Intraoperative Complications ,Survival rate ,Aged ,Cervical cancer ,business.industry ,Carcinoma ,Obstetrics and Gynecology ,Bladder Fistula ,General Medicine ,Chemoradiotherapy ,Recovery of Function ,Length of Stay ,Middle Aged ,medicine.disease ,Intraoperative Injury ,Chemotherapy, Adjuvant ,Lymph Node Excision ,Female ,Laparoscopy ,business ,Complication - Abstract
The aim of this study was to compare the morbidity and survival rates of patients with early-stage cervical cancer treated by vaginal-assisted laparoscopic radical hysterectomy (VALRH) with pair-matched laparoscopic-assisted vaginal radical hysterectomy (LARVH) controls. One hundred nine patients who underwent VALRH for cervical cancer stage FIGO Ia1, L1 to IIb between 2007 and 2009 and 200 patients who underwent LARVH between 1994 and 2002 were analysed in their entirety and in a group of matched pairs. In both groups, there was no conversion to laparotomy due to an intraoperative complication. Prevalence of blood transfusions was significantly lower in the VALRH group (2 vs. 39 patients; P
- Published
- 2013