Survival outcomes of minimally invasive surgery for early-staged cervical cancer: A retrospective study from a single surgeon in a single center
Summary: Objective: Recent studies have shown that minimally invasive surgery (MIS) is associated with a higher recurrence rate in patients with early-stage cervical cancer. In this study, we aim to report the survival outcomes of patients with early-stage cervical cancer who received MIS, performe...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958421003146 |
| _version_ | 1818366016626884608 |
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| author | Jinjin Li Xiping Ouyang Xue Gong Pujun Li Lin Xiao Xiaoxia Chang Junying Tang |
| author_facet | Jinjin Li Xiping Ouyang Xue Gong Pujun Li Lin Xiao Xiaoxia Chang Junying Tang |
| author_sort | Jinjin Li |
| collection | DOAJ |
| description | Summary: Objective: Recent studies have shown that minimally invasive surgery (MIS) is associated with a higher recurrence rate in patients with early-stage cervical cancer. In this study, we aim to report the survival outcomes of patients with early-stage cervical cancer who received MIS, performed in a single center by the same surgeon. Methods: Eligible participants included patients with early-stage cervical cancer in stage IA1 with lymphovascular space invasion (LVSI+), IA2, and IB1. The surgeries were carried out by a single surgeon and survival outcomes of the 137 patients were evaluated retrospectively. Results: The median follow-up time for the 137 patients was 53 (25–94) months, with the five-year disease-free survival (DFS) rate of 96.4% and the five-year overall survival (OS) rate of 96.8%. Among them, six (4.38%) patients relapsed and four (2.92%) of whom died. The five-year DFS rate was significantly higher in patients with tumor≤2 cm in size than in those with tumor >2 cm (P = 0.013), however, with no significant difference in the five-year OS rate (P = 0.219). Conclusion: According to the existing literature and the results of this study, for MIS, the proficiency levels of a surgeon may be associated with survival outcomes of cancer patients. Tumor size may also be an important factor affecting survival outcomes of cervical cancer patients. |
| first_indexed | 2024-12-13T22:29:27Z |
| format | Article |
| id | doaj.art-32fd05c3d980474c9d43b0c943f5f17b |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-13T22:29:27Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-32fd05c3d980474c9d43b0c943f5f17b2022-12-21T23:29:08ZengElsevierAsian Journal of Surgery1015-95842022-01-01451320325Survival outcomes of minimally invasive surgery for early-staged cervical cancer: A retrospective study from a single surgeon in a single centerJinjin Li0Xiping Ouyang1Xue Gong2Pujun Li3Lin Xiao4Xiaoxia Chang5Junying Tang6Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University, ChinaDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, ChinaDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, ChinaDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, ChinaDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, ChinaDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, ChinaCorresponding author. Tel.: 86 23 89011092; fax: 86 23 89011092Department of gynecology, The First affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, PR China.; Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University, ChinaSummary: Objective: Recent studies have shown that minimally invasive surgery (MIS) is associated with a higher recurrence rate in patients with early-stage cervical cancer. In this study, we aim to report the survival outcomes of patients with early-stage cervical cancer who received MIS, performed in a single center by the same surgeon. Methods: Eligible participants included patients with early-stage cervical cancer in stage IA1 with lymphovascular space invasion (LVSI+), IA2, and IB1. The surgeries were carried out by a single surgeon and survival outcomes of the 137 patients were evaluated retrospectively. Results: The median follow-up time for the 137 patients was 53 (25–94) months, with the five-year disease-free survival (DFS) rate of 96.4% and the five-year overall survival (OS) rate of 96.8%. Among them, six (4.38%) patients relapsed and four (2.92%) of whom died. The five-year DFS rate was significantly higher in patients with tumor≤2 cm in size than in those with tumor >2 cm (P = 0.013), however, with no significant difference in the five-year OS rate (P = 0.219). Conclusion: According to the existing literature and the results of this study, for MIS, the proficiency levels of a surgeon may be associated with survival outcomes of cancer patients. Tumor size may also be an important factor affecting survival outcomes of cervical cancer patients.http://www.sciencedirect.com/science/article/pii/S1015958421003146Early-stage cervical cancerMinimally invasive surgeryOne surgeonSurvival outcomes |
| spellingShingle | Jinjin Li Xiping Ouyang Xue Gong Pujun Li Lin Xiao Xiaoxia Chang Junying Tang Survival outcomes of minimally invasive surgery for early-staged cervical cancer: A retrospective study from a single surgeon in a single center Asian Journal of Surgery Early-stage cervical cancer Minimally invasive surgery One surgeon Survival outcomes |
| title | Survival outcomes of minimally invasive surgery for early-staged cervical cancer: A retrospective study from a single surgeon in a single center |
| title_full | Survival outcomes of minimally invasive surgery for early-staged cervical cancer: A retrospective study from a single surgeon in a single center |
| title_fullStr | Survival outcomes of minimally invasive surgery for early-staged cervical cancer: A retrospective study from a single surgeon in a single center |
| title_full_unstemmed | Survival outcomes of minimally invasive surgery for early-staged cervical cancer: A retrospective study from a single surgeon in a single center |
| title_short | Survival outcomes of minimally invasive surgery for early-staged cervical cancer: A retrospective study from a single surgeon in a single center |
| title_sort | survival outcomes of minimally invasive surgery for early staged cervical cancer a retrospective study from a single surgeon in a single center |
| topic | Early-stage cervical cancer Minimally invasive surgery One surgeon Survival outcomes |
| url | http://www.sciencedirect.com/science/article/pii/S1015958421003146 |
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