RT Journal Article
T1 The Impact of Surgical Practice on Oncological Outcomes in Robot-Assisted Radical Hysterectomy for Early-Stage Cervical Cancer, Spanish National Registry
A1 Fernández González, Sergio
A1 Ponce, Jordi
A1 Martínez Maestre, María Ángeles
A1 Barahona, Marc
A1 Gómez Hidalgo, Natalia R.
A1 Díaz Feijoo, Berta
A1 Casajuana, Andrea
A1 Gracia, Myriam
A1 Frias Gomez, Jon
A1 Benavente, Yolanda
A1 Costas, Laura
A1 Martí, Lola
A1 Melero, Lidia
A1 Silvan, Jose Manuel
A1 Beiro, Eva
A1 Lobo, Ignacio
A1 De la Rosa, Jesús
A1 Coronado Martín, Pluvio Jesús
A1 Gil Moreno, Antonio
AB Minimal invasive surgery (MIS) has been associated with lower disease-free survival than open surgery among women who underwent radical hysterectomy for early-stage cervical cancer. However, the mechanisms by which MIS increases mortality in cervical cancer remain uncertain. We aimed to determine if surgical practice among centers using robotic surgery has an impact on oncological outcomes. We evaluated 215 women with early-stage cervical cancer (≤IB1 or IIA1, FIGO 2009) who underwent robot-assisted radical hysterectomy in five Spanish tertiary centers between 2009 and 2018. A higher surgical volume, higher participation in clinical trials, higher rate of MRI use for diagnosis, greater use of sentinel lymph node biopsies, and a favorable learning curve with low rates of early recurrences were observed for the centers with better oncological outcomes. These factors might have a significant impact on oncological outcomes in all surgical approaches.
PB MPDI
SN 2072-6694
YR 2022
FD 2022-01-29
LK https://hdl.handle.net/20.500.14352/71620
UL https://hdl.handle.net/20.500.14352/71620
LA eng
NO Fernandez-Gonzalez S, Ponce J, Martínez-Maestre MÁ, Barahona M, Gómez-Hidalgo NR, Díaz-Feijoo B, et al. The Impact of Surgical Practice on Oncological Outcomes in Robot-Assisted Radical Hysterectomy for Early-Stage Cervical Cancer, Spanish National Registry. Cancers 2022;14:698. https://doi.org/10.3390/cancers14030698.
DS Docta Complutense
RD 9 may 2025