| Long-term survival outcomes of laparoscopically assisted radical hysterectomy in treating early-stage cervical cancer. | |
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MedLine Citation:
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PMID: 20462565 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of the study was to determine the long-term disease-free and overall survival outcomes of laparoscopic treatment of early-stage cervical cancer. STUDY DESIGN: This was a longitudinal study of prospectively registered patients of cervical cancer undergoing laparoscopic surgery from June 1994 to December 2005. RESULTS: A total of 139 patients were included, in which 60 patients were in International Federation of Gynecology and Obstetrics stage IA, 76 in IB, and 3 in IIA. Mean operation time was 231.1 +/- 6.1 minutes. Median number of pelvic lymph node retrieval was 16. Major intraoperative complications included 1 great vessel injury, 1 ureteral injury, 1 colon injury, and 6 cystotomies. In a median follow-up of 92.1 months, the mean +/- SEM cumulative disease-free and overall survival rates were 91.01% +/- 2.77% and 92.78% +/- 3.06%, respectively. CONCLUSION: The laparoscopic approach has favorable long-term survival outcomes and perioperative morbidity. With the advantage of minimal invasiveness, laparoscopic treatment by experienced surgeons is an ideal alternative for early-stage cervical cancer. |
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Authors:
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Chyi-Long Lee; Kai-Yun Wu; Kuan-Gen Huang; Pei-Shan Lee; Chih-Feng Yen |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-05-11 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 203 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-27 Completed Date: 2010-08-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 165.e1-7 Citation Subset: AIM; IM |
Copyright Information:
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Copyright (c) 2010 Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou and Chang Gung University, Tao-Yuan, Taiwan, Republic of China. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Biopsy, Needle China Disease-Free Survival Female Follow-Up Studies Humans Hysterectomy / methods*, mortality Hysteroscopy / methods Immunohistochemistry Laparoscopy / adverse effects, methods* Longitudinal Studies Lymph Nodes / pathology Middle Aged Neoplasm Staging Postoperative Complications / mortality, physiopathology Prospective Studies Registries Risk Assessment Survival Analysis Time Factors Treatment Outcome Uterine Cervical Neoplasms / mortality*, pathology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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