Published online Oct 26, 2019. doi: 10.12998/wjcc.v7.i20.3185
Peer-review started: June 18, 2019
First decision: July 30, 2019
Revised: August 24, 2019
Accepted: September 9, 2019
Article in press: September 9, 2019
Published online: October 26, 2019
Processing time: 137 Days and 13.8 Hours
The da Vinci robotic surgery system somewhat overcomes the shortcomings of LRH and has greater accuracy and stability for the operation. Thus, it has been widely used in the treatment of gynecological diseases
This study was retrospectively performed to analyze the perioperative conditions, complications, and short-term and long-term effects in patients undergoing robotic radical hysterectomy (RRH) and laparoscopic radical hysterectomy (LRH) at our center from February 2014 to December 2018.
To analyze the perioperative conditions, complications, and short-term and long-term effects in patients undergoing RRH and LRH.
The clinical efficacy, safety, and feasibility of RRH and LRH were analyzed and compared.
The complication rate was significantly lower in the RRH group than in the LRH group. There was no significant difference in follow-up period (P = 0.658). The total recurrence rates were 15.7% and 12% in the RRH and LRH groups, respectively. The progression-free survival time was 28.91 ± 15.68 mo and 28.34 ± 15.13 mo in the RRH and LRH groups, respectively (P = 0.669). The overall survival (OS) rates were 92.13% and 94.45% in the RRH and LRH groups, respectively (P = 0.292). The OS time was 29.87 ± 15.92 mo and 29.41 ± 15.14 mo in the RRH and LRH groups, respectively (P = 0.732). The survival curves and the progression-free survival curves were not statistically significantly different between the two groups.
The operative time and blood loss were significantly less in the RRH group than in the LRH group. The two groups had similar complication rats, OS, and progression-free survival time.
RRH can achieve similar long-term outcome to LRH with less operative time and less blood loss.