Objective To compare a new surgical approach, laparoscopically assisted radical vaginal hysterectomy (LARVH) with open radical hysterectomy in women with cervical cancer. Can selected women benefit from the minimally invasive approach without compromising safety (recurrence rate) and morbidity (complications)?Design Retrospective case control study.Setting A tertiary referral unit for gynaecological malignancies.Population Thirty women undergoing LARVH were included and compared with 30 women undergoing open radical surgery. The control group was matched for age, body mass index and disease stage.Methods Retrospective collection of data from patient files and follow up.Main outcome measures Recurrence rate, complication rate, hospital stay, nodal counts, blood loss, operating time.Results Recurrence rates were equal (6.7%). There was one death, in the LARVH group. Conclusions The first 30 LARVH procedures performed in this unit are comparable in terms of safety (recurrence rate and complication rate) and economic factors (shorter hospital stay mitigating longer operating time). Further development of this technique is warranted.
die Angaben zu einer Hormonmedikation in dem genannten Fragebogenzyklus machen konnten, in der die Studienpatientin gestorben war. Die Mortalität wurde dann als relatives Risiko, im Zusammenhang mit der Hormontherapie zu versterben, angegeben.
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