Laparoscopic versus robotic radical hysterectomy after neoadjuvant chemotherapy in locally advanced cervical cancer: A case control study

Robotic radical hysterectomy in early stage cervical cancer: A systematic review and meta-analysis

“…Four studies included women with stage IIB [11,12,25,35]. However, they did not address a different management plan for these women and radical hysterectomy was conducted in all cases.…”

“…We excluded 3 studies that evaluated different procedures or disease stages [43][44][45], 1 that included some cases of radical trachelectomy in the treatment cohort [9], 1 which was a protocol for a randomized controlled trial (RCT) [27], and 1 commentary [26]. Overall, 26 comparative studies that met the inclusion criteria were available for pooled analysis [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]28,29,[31][32][33][34]36,37,46,47]. Only 1 study included a mixed cohort of cervical and endometrial cancer cases.…”

“…All included studies were retrospective cohort design. Ten studies were conducted in the United States of America (USA) [10,11,16,17,21,22,24,33,36,47], 4 studies in Korea [13,20,25,37], 3 studies in Italy [14,23,46], 2 studies in Norway [31,32], 1 study in Sweden [29], 1 study in France [15], 1 study in Bulgaria [18], 1 study in Canada [19], 1 study in Czech [28], 1 study in Taiwan [12] and 1 study in both USA and Italy [34]. Overall, the studies had adequate methodological quality and low risk of bias, particularly in terms of cohort selection and outcome ascertainment.…”

“…However, the comparability of cases and controls was less consistent (Appendix B). In all, 4013 women were included in the pooled analysis; Table 1, RRH was compared to ARH in 10 of these studies [10,11,17,19,[21][22][23]25,28,29], 9 studies compared RRH against LRH [13][14][15]20,31,34,37,46,47] and 7 studies compared all 3 approaches [12,16,18,24,32,33,36]. All women were treated with RH with or without LA; RH was either type II or III according to Piver classification [48] or type B1 and C1 using Querleu and Morrow classification [49].…”

Minimally Invasive Surgery to Treat Gynecological Cancer

“…Other parameters such as the number of pelvic nodes removed, complications, and length of stay were similar in both surgical approaches. 38 Ovarian Cancer Surgical Staging in Women With Early Stage Disease Table 6 summarizes the clinical and oncological outcomes of studies comparing conventional versus robotic-assisted laparoscopy for surgical staging in women with an apparent early stage ovarian cancer. 39Y41 Based on the available literature, conventional or robotic assisted seems to have similar surgical and oncological outcomes.…”