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Robotic Single-Site Radical Hysterectomy for Early Cervical Cancer: A Single Center Experience of 5 Years

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Author(s)
Changho SongTae-Kyu JangSoomin KongHeeju KangSang-Hoon KwonChi-Heum Cho
Keimyung Author(s)
Jang, Tae KyuKwon, Sang HoonCho, Chi Heum
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Journal Title
J Pers Med
Issued Date
2023
Volume
13
Issue
5
Keyword
cervical cancerradical hysterectomyrobot assisted surgerysingle-site
Abstract
Background:
The mainstay of treatment for early-stage cervical cancer is surgery; we present a 5-year experience of robotic single-site radical hysterectomy (RSRH) focused on surgical and oncologic outcomes.

Methods:
This retrospective study included 44 cases of RSRH performed in patients with early-stage cervical cancer.

Results:
The median follow-up period for the 44 patients was 34 months. The mean total operation time was 156.07 ± 31.77 min, while mean console time was 95.81 ± 24.95 min. Two cases had complications, which required surgical management, while four cases (9.1%) exhibited recurrence. The disease-free survival rate at 5 years was 90.9%. The sub-division analysis showed that Stage Ia2 and stage Ib1 patient sub-group showed better DFS than that of the stage Ib2 patient sub-group. The learning curve analysis showed that the CUSUM-T initially peaks at the sixth case then gradually decreases before rising and peaking at the 24th case. After 24th case, the CUSUM-T gradually decreases and reaches zero.

Conclusion:
The surgical outcomes of RSRH for early-stage cervical cancer treatment were safe and acceptable. However, RSRH could be considered carefully only in well-selected patient groups. Large-scale prospective studies are necessary in the future to validate the results.
Keimyung Author(s)(Kor)
장태규
권상훈
조치흠
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2075-4426
Source
https://www.mdpi.com/2075-4426/13/5/733
DOI
10.3390/jpm13050733
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44994
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
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