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Archives of Gynecology and Obstetrics

, Volume 300, Issue 1, pp 153–160 | Cite as

Safety and effectiveness of robotic hysterectomy versus conventional laparoscopic hysterectomy in patients with cervical cancer in China

  • Liangliang Han
  • Peijing Yan
  • Liang Yao
  • Rong Liu
  • Ruixue Shao
  • Jian Liu
  • Xiaohong Chen
  • Liuli Wang
  • Kehu YangEmail author
  • Tiankang GuoEmail author
  • Hailin WangEmail author
Gynecologic Oncology
  • 61 Downloads

Abstract

Objective

The aim of this study was to compare the safety and effectiveness of robotic hysterectomy (RH) with conventional laparoscopic hysterectomy (LH) for the treatment of cervical cancer using multivariate regressions.

Methods

We designed a retrospective single-center study and consecutively collected patients with cervical cancer from February 2014 to October 2017. Data extraction was performed by two independent researchers. The surgical outcomes include operative time, estimated blood loss, number of lymph nodes, time to first flatus, time to a full diet, time to remove drainage tube, length of hospital stay, and postoperative complication.

Results

A total of 152 patients with cervical cancer were collected in our study including 92 patients who underwent RH and 60 patients who underwent LH. Both groups have similar characteristics. The RH group showed shorter operative time (Coe − 42.89; 95% CI − 74.39 to 11.39; P = 0.008) and more number of lymph nodes (Coe 6.06; 95% CI 2.46–9.66; p = 0.001) than the LH group. As for the postoperative parameters, the RH group showed shorter time to remove drainage tube (Coe − 0.89; 95% CI –1.62 to –0.15; p = 0.019) and length of hospital stay (Coe − 6.40; 95% CI − 10.19 to − 2.95; p = 0.001). No significant difference was found between the groups in estimated blood loss (Coe 34.64; 95% CI − 33.08 to 102.37; p = 0.314), time to first flatus (Coe 0.11; 95% CI − 0.38 to 0.61; p = 0.652), time to a full diet (Coe − 0.24; 95% CI − 0.54 to 0.06, p = 0.118), and postoperative complication (OR 0.84; 95% CI 0.35–1.98; p = 0.685).

Conclusion

The results from this study suggest that RH is safe and effective as LH but robotic surgery significantly contributed to the feasibility of alternative treatment options for cervical cancer patients.

Keywords

Cervical cancer Robotic hysterectomy Conventional laparoscopic hysterectomy 

Notes

Acknowledgements

Jing Wang, Fan Hou, Li-Yuan Xu, and Rong-hua Feng from the Lanzhou University participated in the data collection and submission of the corresponding manuscript.

Author contributions

LH: design of the study, data collection, data analysis, responsible for surgery, and manuscript writing. PY: design of the study and data analysis. LY: design of the study. RL: design of the study. RS: data collection. JL: responsible surgery. LW: data collection. XC: responsible surgery. KY: design of the study. TG: design of the study. HW: design of the study and responsible for surgery.

Compliance with ethical standards

Conflict of interest

We declare that we have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of Gansu Provincial Hospital, China (Reference number: 2017-067).

Informed consent

Informed consent was obtained from all individual participants.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Gynecology and ObstetricsGansu Provincial HospitalLanzhouPeople’s Republic of China
  2. 2.Department of Clinical MedicineGansu University of Traditional Chinese MedicineLanzhouPeople’s Republic of China
  3. 3.Evidence-Based Medicine Center, School of Basic Medical SciencesLanzhou UniversityLanzhouPeople’s Republic of China
  4. 4.Institution of Clinical Research and Evidence Based MedicineGansu Provincial HospitalLanzhouPeople’s Republic of China
  5. 5.The Second Department of Hepatobiliary surgeryChinese PLA General HospitalBeijingPeople’s Republic of China
  6. 6.Department of Clinical MedicineLanzhou UniversityLanzhouPeople’s Republic of China
  7. 7.Department of General SurgeryGansu Provincial HospitalLanzhouPeople’s Republic of China

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