Comparison of urologic complications between laparoscopic radical hysterectomy and abdominal radical hysterectomy: A nationwide study from the National Health Insurance

Hwang, Jong Ha; Kim, Bo Wook; Jeong, Hojin; Kim, Hyeong-Su

doi:10.1016/j.ygyno.2020.04.686

Cited by 13 publications

(14 citation statements)

References 23 publications

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“…It is possible to predict urologic complications based on urologic procedures. In the present study, the incidence of urologic complications requiring RH-related urologic procedures was 7.40%, which is relatively higher than those reported in previous population-based studies (1.48%–1.54%) [ 11 17 ].…”

Section: Discussioncontrasting

confidence: 68%

“…These studies are limited by their retrospective nature. One nation-based study reported that the incidence of urologic complications related to RH was 1.48% [ 11 ]. This figure may have been underestimated because the incidence was calculated based on the diagnostic code.…”

Section: Discussionmentioning

confidence: 99%

“…Meta-analysis increases statistical power by integrating each study, but it is limited by data quality and heterogeneity among studies. Hwang et al [ 11 ] analyzed perioperative urologic complications after RH using nation-wide population data; because the study was retrospective in nature and conducted based on the diagnostic code, the incidence rate may be underestimated than the actual case. It is clinically more important to evaluate urologic complications requiring urologic procedures rather than urologic complications alone.…”

Section: Introductionmentioning

confidence: 99%

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The incidence of urologic complications requiring urologic procedure in radical hysterectomy and difference between abdominal radical hysterectomy and laparoscopic radical hysterectomy

et al. 2021

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Objective To evaluate the incidence of urologic complications requiring a urologic procedure during the perioperative period and compare the differences between abdominal radical hysterectomy (ARH) and laparoscopic radical hysterectomy (LRH). Methods We identified all Korean women who underwent radical hysterectomy (RH) between January 2006 and December 2019 using the National Health Insurance Service database. Complications requiring surgical intervention-based urologic procedures between ARH and LRH were investigated. Results A total of 12,068 patients were classified into the ARH group and 8,837 patients were classified into the LRH group. Urologic complications requiring urologic procedures occurred in 1,546 of 20,905 patients (7.40%) who underwent RH. The most common urologic procedure was double-J insertion (R326, 5.18%), followed by bladder repair (R3550, 0.90%). There was no significant difference in urologic complications requiring urologic procedures between the ARH and LRH groups (odds ratio [OR]=1.027; 95% confidence interval [CI]=0.925–1.141; p=0.612). The incidence of bladder repair (R3550) was significantly higher in patients who underwent LRH (OR=1.620; 95% CI=1.220–2.171; p<0.001). Urologic complications requiring urologic procedures were statistically higher in the LRH group during the first half (OR=1.446; 95% CI=1.240–1.685; p<0.001), but more in the ARH group during the second half (OR=0.696; 95% CI=0.602–0.804; p<0.001) of the study period. Conclusion There was no difference of urologic complications between ARH and LRH with regard to urologic procedures. The incidence of urologic procedures decreases with time in patients who underwent LRH.

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Section: Discussioncontrasting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The incidence of urologic complications requiring urologic procedure in radical hysterectomy and difference between abdominal radical hysterectomy and laparoscopic radical hysterectomy

et al. 2021

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“…The HIRA is a government-affiliated organization that performs claims review for reimbursement for medical services provided to patients (24). The HIRA database includes patient records on age, sex, diagnoses, days of hospitalization, treatments, prescriptions, and medical costs (25).…”

Section: Data Sourcementioning

confidence: 99%

Effects of antihypertensive drugs on surgical outcomes of breast reconstruction: a nationwide population-based claim study

Park

et al. 2021

Gland Surg

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Background: Experimental studies have reported that angiotensin receptor blockers (ARBs) increase the risk of surgical complications. However, clinical data on their effect on surgical outcomes are limited.The aim of this study was to investigate the impact of perioperative use of ARBs on the outcomes of breast reconstruction using population-based claim data.Methods: Data of patients who underwent direct-to-implant or abdomen-based autologous breast reconstruction after total mastectomy from April 2015 to December 2018 were obtained from the Health Insurance Review and Assessment Service database. The patients were categorized as ARB, non-ARB, control, and non-hypertension groups. The effects of ARBs on surgical complications, length of hospital stay, and complication-related medical costs were evaluated.Results: Of the 9,036 patients who met the inclusion criteria, 5,192 underwent direct-to-implant reconstruction, and 3,844 underwent abdomen-based autologous reconstruction. The length of hospital stay was the longest and the surgical complication rate and complication-related medical cost were the highest in the ARB group after both reconstruction methods. Compared with non-treatment with antihypertensive drugs, ARB use was found to be an independent risk factor for surgical complications in direct-to-implant reconstruction [odds ratio (OR), 1.96; 95% confidence interval (CI), 1.09-3.50; P=0.0237] and complicationrelated medical cost (OR, 1.93; 95% CI, 1.10-3.40; P=0.0221) in abdomen-based autologous reconstruction.Conclusions: Perioperative ARB use was associated with adverse postoperative breast reconstruction outcomes. These findings might have a significant impact on perioperative antihypertensive management; nevertheless, further studies are warranted to confirm the study findings.

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“…3 However, these procedures are associated with significant postoperative morbidities, which consist of bowel dysfunctions and ureteral fistula formation, and have adverse effects on the quality of life in patients. [6][7][8][9][10] These morbidities are considered to be related to the removal of the parametrial tissues adjacent to the cervix, which carry autonomic nerve fibers innervating gastrointestinal and genitourinary activities. [11][12][13] Many studies have shown that the risk of parametrial metastases in select patients with early-stage cervical cancer is fairly low.…”

Section: Introductionmentioning

confidence: 99%

Simple Hysterectomy for Patients with Stage IA2 Cervical Cancer: A Retrospective Cohort Study

Liu¹,

Xu²,

He³

et al. 2021

CMAR

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Objective:The purpose of this study was to compare long-term survival outcomes of simple hysterectomy versus radical hysterectomy in stage IA2 cervical cancer. Methods: A total of 440 patients who underwent simple hysterectomy (SH group) or radical hysterectomy (RH group) between 2014 and 2019 were included in this study. Overall survival (OS) and disease-free survival (DFS) were analyzed using the Kaplan-Meier method and compared by the Log rank test. The Cox proportional hazards regression model was employed to control for confounders. Results: There were 258 patients in the RH group and 182 patients in the SH group. The two groups had similar 5-year DFS rate (89.25% vs 91.14%, P=0.562) and 5-year OS rate (95.71% vs 94.76%, P=0.482). Multivariable analysis showed that simple hysterectomy was not independently associated with poorer DFS (aHR, 1.608; 95% CI, 0.640-4.041; P=0.312) and OS (aHR, 1.122; 95% CI, P=0.858) than radical hysterectomy for women with stage IA2 cervical cancer. Conclusion: For stage IA2 cervical cancer, a simple hysterectomy is safe and effective. Further studies are needed to testify against our findings.

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Comparison of urologic complications between laparoscopic radical hysterectomy and abdominal radical hysterectomy: A nationwide study from the National Health Insurance

Cited by 13 publications

References 23 publications

The incidence of urologic complications requiring urologic procedure in radical hysterectomy and difference between abdominal radical hysterectomy and laparoscopic radical hysterectomy

The incidence of urologic complications requiring urologic procedure in radical hysterectomy and difference between abdominal radical hysterectomy and laparoscopic radical hysterectomy

Effects of antihypertensive drugs on surgical outcomes of breast reconstruction: a nationwide population-based claim study

Simple Hysterectomy for Patients with Stage IA2 Cervical Cancer: A Retrospective Cohort Study

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