RT Journal Article
T1 Survival Analysis in Endometrial Carcinomas by Type of Surgical Approach: A Matched-Pair Study
A1 Coronado Martín, Pluvio Jesús
A1 Rychlik, Agnieszka
A1 Baquedano, Laura
A1 García Pineda, Virginia
A1 Martínez Maestre, Maria A.
A1 Querleu, Denis
A1 Zapardiel, Ignacio
AB (1) Background: This study aimed to analyze the impact of surgical approach on survival rates in women diagnosed with endometrial cancer. (2) Methods: A retrospective multicenter cohort of 1382 women diagnosed with EC was performed. A total of 684 (49.5%) women underwent minimally invasive surgery, 233 (34%) underwent robotic-assisted laparoscopy (RAL), 451 (66%) underwent conventional laparoscopy (LPS), and 698 (50.5%) underwent open surgery (OP). Sociodemographic features, tumor characteristics, and survival rates were analyzed in the whole sample and in a matched-pair model. (3) Results: Women operated on by OP were significantly older, presented more comorbidities, and had more aggressive tumors. Disease-free (DFS), overall (OS), and specific survival related to EC (SS) amounts were significantly higher for MIS compared to OP (p < 0.001). When matched by age, body mass index, comorbidities, ASA score, histological type, grade, myometrial invasion, and FIGO stage, 798 patients were selected. DFS, OS, and SS amounts were similar between the MIS and OP groups. (4) Conclusions: The surgical approach for women with EC does not impact DFS or OS amounts when matched by homogeneous groups.
PB MDPI
SN 2072-6694
YR 2022
FD 2022-02-21
LK https://hdl.handle.net/20.500.14352/73367
UL https://hdl.handle.net/20.500.14352/73367
LA eng
DS Docta Complutense
RD 30 jun 2024