Comparison of laparoscopic-assisted radical vaginal hysterectomy and abdominal radical hysterectomy in patients with early stage cervical cancer A retrospective study

作者：Zhang, Sichen^*; Ma, Linlin; Meng, Qing Wei; Zhou, Dan; Moyiding, Tuerhongayi

来源：Medicine, 2017, 96(36): e8005.

DOI：10.1097/MD.0000000000008005

• abdominal radical hysterectomy
• early stage cervical cancer
• laparoscopic-assisted radical vaginal hysterectomy
• survival outcomes

Background: The aim of this study was to compare the safety and survival outcomes of early stage cervical cancer patients treated by laparoscopically assisted radical vaginal hysterectomy (LARVH) versus abdominal radical hysterectomy (ARH).
Methods: Since March 2008 to July 2012, the patients with early stage cervical cancer undergoing LARVH or ARH in Beijing hospital have been entered into this study. Statistical analysis used Statistical Product and Service Solutions (SPSS) and significance was defined as P<.05.
Result: Forty-two patients were included in LARVH group and 35 patients in ARH group. Both groups were similar with respect to age, body mass index (BMI), histological diagnosis, and stage. There were no differences in operative time, vaginal length, and postoperative complications, but blood loss, rate of transfusion, length of catheterized, and length of hospital stay were significantly less in LARVH. Number of lymph node retrieved was less than ARH. No differences were seen regarding recurrence rate, length of disease free survival, overall survival, and mortality rate after a median follow up of 58.5 and 48.5 months.
Conclusion: LARVH is a suitable alternative to ARH for early-stage cervical cancer, which shows less blood loss, shorter catheterized and hospital stay, and similar survival outcomes.

• 出版日期2017-9
• 单位北京医院