Open Access
CC BY 4.0 · Brazilian Journal of Oncology 2019; 15
DOI: 10.1055/s-0044-1797993
E-PÔSTER
TEMÁRIO: ONCOGINECOLOGIA

LAPAROSCOPIC-VAGINAL RADICAL HYSTERECTOMY: CAN BE A OPTION TO TREAT PATIENTS WITH EARLY CERVICAL CANCER WITHOUT COMPROMISING SURVIVAL?

Authors

  • Suzana Arenhart Pessini

    1   Universidade Federal do Rio Grande do Sul e Programa de Pós-Graduação em Ginecologia e Obstetricia da UFRGS

  • Maria Cristina Barcellos Anselmi

    1   Universidade Federal do Rio Grande do Sul e Programa de Pós-Graduação em Ginecologia e Obstetricia da UFRGS

  • Geraldo Gastal Gomes-da-silveira

    1   Universidade Federal do Rio Grande do Sul e Programa de Pós-Graduação em Ginecologia e Obstetricia da UFRGS

  • Gustavo Py Gomes da Silveira

    1   Universidade Federal do Rio Grande do Sul e Programa de Pós-Graduação em Ginecologia e Obstetricia da UFRGS

  • Irmandade Santa Casa de Misericórdia de Porto Alegre

    1   Universidade Federal do Rio Grande do Sul e Programa de Pós-Graduação em Ginecologia e Obstetricia da UFRGS
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Introduction: Recent prospective randomized trial about surgery in cervical cancer results in worse survival with laparoscopic or robotic approach. Another one, retrospective, demonstrate that combined laparoscopic-vaginal approach is safe, with similar survival. Objectives: To determine 2 and 5-year survival in early cervical cancer patients treated by laparoscopic-vaginal radical hysterectomy (LVRH) and to compare with historical series by radical abdominal hysterectomy (RAH). To determine the average of lymph nodes at the laparoscopic pelvic lymphadenectomy and to compare with the historical series by laparotomy. Design: Concurrent cohort study (group 1) and retrospective case control study (group 2). Patients and Methods: Patients with cervical cancer FIGO stage Ia2 and Ib1 (< 2cm) submitted a LVRH, from 2001 to 2007 (group 1, n=64), and submitted a RAH from 1995 to 2007 (group 2, n=108). The laparoscopic time consisted of pelvic lymphadenectomy, bipolar cauterization or placement of clip and section of uterine artery, preparation of paravesical and pararectal space and salpingectomy. The vaginal time starts making vaginal cuff closed by Chrobak forceps. The bladder pillar, ureter and lateral ligament of bladder are identified, paracolpos, rectovaginal ligaments and paracervix are dissected. The lymph nodes were sent separeted, left and right sides. Age, tumor size, hystologic type, number of lymph nodes, metastasis and complications were registered. Results: The 2 and 5 years-survival in group 1 patients were 98 and 96,2%, and, in group 2, were 89,8 and 84,3% (p=0,09 and 0,2). General 2 and 5 years-survival were 92,8 and 88,3%. The average of lymph nodes by laparoscopy was 23,1 and, by laparotomy, was 21,7. Conclusions: The 2 and 5-year survival of cervical cancer patients treated by LVRH were similar to patients treated by RAH. The average of lymph nodes by laparoscopy was greater than laparotomy, without significant difference.



Publication History

Article published online:
23 October 2019

© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Suzana Arenhart Pessini, Maria Cristina Barcellos Anselmi, Geraldo Gastal Gomes-da-silveira, Gustavo Py Gomes da Silveira, Irmandade Santa Casa de Misericórdia de Porto Alegre. LAPAROSCOPIC-VAGINAL RADICAL HYSTERECTOMY: CAN BE A OPTION TO TREAT PATIENTS WITH EARLY CERVICAL CANCER WITHOUT COMPROMISING SURVIVAL?. Brazilian Journal of Oncology 2019; 15.
DOI: 10.1055/s-0044-1797993