Minimally invasive surgery versus laparotomy in women with high risk endometrial cancer: A multi-center study performed in Argentina
•Disease-free survival was not different when comparing laparoscopic versus open surgery.•Overall survival at 2 years in patients with stage I–II high-risk endometrial cancer was similar.•Overall survival at 4 years in patients with stage I–II high-risk endometrial cancer was similar. Compare the pe...
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| Published in: | Gynecologic oncology reports Vol. 46; p. 101147 |
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| Abstract | •Disease-free survival was not different when comparing laparoscopic versus open surgery.•Overall survival at 2 years in patients with stage I–II high-risk endometrial cancer was similar.•Overall survival at 4 years in patients with stage I–II high-risk endometrial cancer was similar.
Compare the perioperative outcomes and disease-free survival between minimally invasive and open surgery in women with stage I–II high-risk endometrial cancer.
A retrospective, cohort study was performed involving twenty-four centers from Argentina. Patients with grade 3 endometrioid, serous, clear cell, undifferentiated carcinoma or carcinosarcoma who underwent hysterectomy, bilateral salpingo-oophorectomy, and staging between January 2010–2018 were included. Cox hazard regression analysis and Kaplan-Meier curves evaluated the association of surgical technique with survival.
Of 343 eligible patients, 214 (62 %) underwent open surgery and 129 (38 %) underwent laparoscopic surgery. No significant differences were seen between the two groups with respect to greater or equal grade III Clavien-Dindo postoperative complications (11 % in the open surgery group vs 9 % minimally invasive surgery group; P = 0.34) Minimally invasive surgery was not associated with worse disease-free survival at four years (79.14 % [95 % CI 69.42– 86.08] vs 78.80 % [95 % CI 70.61–84.96]), (p = 0.25), even after creating a Cox proportional model (hazard ratio [HR] 1.08 95 % CI 0.63–1.84); (p = 0.76).
There was no difference between postoperative complications nor oncologic outcomes comparing minimally invasive and open surgery among patients with high-risk endometrial cancer. |
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| AbstractList | •Disease-free survival was not different when comparing laparoscopic versus open surgery.•Overall survival at 2 years in patients with stage I–II high-risk endometrial cancer was similar.•Overall survival at 4 years in patients with stage I–II high-risk endometrial cancer was similar.
Compare the perioperative outcomes and disease-free survival between minimally invasive and open surgery in women with stage I–II high-risk endometrial cancer.
A retrospective, cohort study was performed involving twenty-four centers from Argentina. Patients with grade 3 endometrioid, serous, clear cell, undifferentiated carcinoma or carcinosarcoma who underwent hysterectomy, bilateral salpingo-oophorectomy, and staging between January 2010–2018 were included. Cox hazard regression analysis and Kaplan-Meier curves evaluated the association of surgical technique with survival.
Of 343 eligible patients, 214 (62 %) underwent open surgery and 129 (38 %) underwent laparoscopic surgery. No significant differences were seen between the two groups with respect to greater or equal grade III Clavien-Dindo postoperative complications (11 % in the open surgery group vs 9 % minimally invasive surgery group; P = 0.34) Minimally invasive surgery was not associated with worse disease-free survival at four years (79.14 % [95 % CI 69.42– 86.08] vs 78.80 % [95 % CI 70.61–84.96]), (p = 0.25), even after creating a Cox proportional model (hazard ratio [HR] 1.08 95 % CI 0.63–1.84); (p = 0.76).
There was no difference between postoperative complications nor oncologic outcomes comparing minimally invasive and open surgery among patients with high-risk endometrial cancer. ObjectiveCompare the perioperative outcomes and disease-free survival between minimally invasive and open surgery in women with stage I-II high-risk endometrial cancer. MethodsA retrospective, cohort study was performed involving twenty-four centers from Argentina. Patients with grade 3 endometrioid, serous, clear cell, undifferentiated carcinoma or carcinosarcoma who underwent hysterectomy, bilateral salpingo-oophorectomy, and staging between January 2010-2018 were included. Cox hazard regression analysis and Kaplan-Meier curves evaluated the association of surgical technique with survival. ResultsOf 343 eligible patients, 214 (62 %) underwent open surgery and 129 (38 %) underwent laparoscopic surgery. No significant differences were seen between the two groups with respect to greater or equal grade III Clavien-Dindo postoperative complications (11 % in the open surgery group vs 9 % minimally invasive surgery group; P = 0.34) Minimally invasive surgery was not associated with worse disease-free survival at four years (79.14 % [95 % CI 69.42- 86.08] vs 78.80 % [95 % CI 70.61-84.96]), (p = 0.25), even after creating a Cox proportional model (hazard ratio [HR] 1.08 95 % CI 0.63-1.84); (p = 0.76). ConclusionThere was no difference between postoperative complications nor oncologic outcomes comparing minimally invasive and open surgery among patients with high-risk endometrial cancer. • Disease-free survival was not different when comparing laparoscopic versus open surgery. • Overall survival at 2 years in patients with stage I–II high-risk endometrial cancer was similar. • Overall survival at 4 years in patients with stage I–II high-risk endometrial cancer was similar. Compare the perioperative outcomes and disease-free survival between minimally invasive and open surgery in women with stage I-II high-risk endometrial cancer. A retrospective, cohort study was performed involving twenty-four centers from Argentina. Patients with grade 3 endometrioid, serous, clear cell, undifferentiated carcinoma or carcinosarcoma who underwent hysterectomy, bilateral salpingo-oophorectomy, and staging between January 2010-2018 were included. Cox hazard regression analysis and Kaplan-Meier curves evaluated the association of surgical technique with survival. Of 343 eligible patients, 214 (62 %) underwent open surgery and 129 (38 %) underwent laparoscopic surgery. No significant differences were seen between the two groups with respect to greater or equal grade III Clavien-Dindo postoperative complications (11 % in the open surgery group vs 9 % minimally invasive surgery group; P = 0.34) Minimally invasive surgery was not associated with worse disease-free survival at four years (79.14 % [95 % CI 69.42- 86.08] vs 78.80 % [95 % CI 70.61-84.96]), (p = 0.25), even after creating a Cox proportional model (hazard ratio [HR] 1.08 95 % CI 0.63-1.84); (p = 0.76). There was no difference between postoperative complications nor oncologic outcomes comparing minimally invasive and open surgery among patients with high-risk endometrial cancer. Objective: Compare the perioperative outcomes and disease-free survival between minimally invasive and open surgery in women with stage I–II high-risk endometrial cancer. Methods: A retrospective, cohort study was performed involving twenty-four centers from Argentina. Patients with grade 3 endometrioid, serous, clear cell, undifferentiated carcinoma or carcinosarcoma who underwent hysterectomy, bilateral salpingo-oophorectomy, and staging between January 2010–2018 were included. Cox hazard regression analysis and Kaplan-Meier curves evaluated the association of surgical technique with survival. Results: Of 343 eligible patients, 214 (62 %) underwent open surgery and 129 (38 %) underwent laparoscopic surgery. No significant differences were seen between the two groups with respect to greater or equal grade III Clavien-Dindo postoperative complications (11 % in the open surgery group vs 9 % minimally invasive surgery group; P = 0.34) Minimally invasive surgery was not associated with worse disease-free survival at four years (79.14 % [95 % CI 69.42– 86.08] vs 78.80 % [95 % CI 70.61–84.96]), (p = 0.25), even after creating a Cox proportional model (hazard ratio [HR] 1.08 95 % CI 0.63–1.84); (p = 0.76). Conclusion: There was no difference between postoperative complications nor oncologic outcomes comparing minimally invasive and open surgery among patients with high-risk endometrial cancer. |
| ArticleNumber | 101147 |
| Author | Rita Amato, Alicia Odetto, Diego Vitale, María Soledad Del Valle Garrido, Rosa María Isnardi, Facundo Tapper, Karen Darin, Maria Cecilia Franco, Gonzalo Ostojich, Marcela Luis Bianchi, Federico Costa, Jerónimo Prozzillo, Luciana Navarini, Roberto Hugo Perrotta, Myriam Crimi, Gabriel Rey Valzacchi, Guido Martin Esteban, Agustín Escobar, Horacio Rosato, Otilio Daniel de Degani, Graciela Lopez Picciochi, Ricardo Anibal Bustos, Daniel Gacitua Carrizo, María Mercedes Alessandria, Sebastian Cabrera, Lorena Soledad Lopresti, Eduardo Fabian Rossini, Mariano |
| Author_xml | – sequence: 1 givenname: Diego surname: Odetto fullname: Odetto, Diego email: diego.odetto@hospitalitaliano.org.ar organization: Gynecology Oncology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina – sequence: 2 givenname: Guido Martin surname: Rey Valzacchi fullname: Rey Valzacchi, Guido Martin organization: Department of Gynecologic Oncology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina – sequence: 3 givenname: Marcela surname: Ostojich fullname: Ostojich, Marcela organization: Department of Gynecology, Institute of Oncology Angel H. Roffo, University of Buenos Aires, Argentina – sequence: 4 givenname: Sebastian surname: Alessandria fullname: Alessandria, Sebastian organization: Department of Gynecologic Oncology, Sanatorio Sagrado Corazón, Buenos Aires, Argentina – sequence: 5 givenname: Maria Cecilia surname: Darin fullname: Darin, Maria Cecilia organization: Department of Gynecology, Hospital Británico de Buenos Aires, Buenos Aires, Argentina – sequence: 6 givenname: Karen surname: Tapper fullname: Tapper, Karen organization: Center for Medical Education and Clinical Investigation (CEMIC), Buenos Aires, Argentina – sequence: 7 givenname: Alicia surname: Rita Amato fullname: Rita Amato, Alicia organization: Department of Gynecology, Complejo Médico Policial “Churruca-Visca”, Buenos Aires, Argentina – sequence: 8 givenname: Federico surname: Luis Bianchi fullname: Luis Bianchi, Federico organization: Department of Gynecology, Hospital Aleman de Buenos Aires, Buenos Aires, Argentina – sequence: 9 givenname: Eduardo Fabian surname: Lopresti fullname: Lopresti, Eduardo Fabian organization: Department of Gynecology, Hospital Central, Mendoza, Argentina – sequence: 10 givenname: Lorena Soledad surname: Cabrera fullname: Cabrera, Lorena Soledad organization: Department of Gynecology, Hospital Provincial Neuquén, Neuquén, Argentina – sequence: 11 givenname: Jerónimo surname: Costa fullname: Costa, Jerónimo organization: Department of Gynecology, Hospital Privado de Rosario, Santa Fe, Argentina – sequence: 12 givenname: Agustín surname: Esteban fullname: Esteban, Agustín organization: Department of Gynecology, Sanatorio Allende, Córdoba, Argentina – sequence: 13 givenname: Luciana surname: Prozzillo fullname: Prozzillo, Luciana organization: Department of Gynecology, Hospital Español, Buenos Aires, Argentina – sequence: 14 givenname: Horacio surname: Escobar fullname: Escobar, Horacio organization: Department of Gynecology, Hospital Italiano Córdoba, Córdoba, Argentina – sequence: 15 givenname: Daniel Gacitua surname: Bustos fullname: Bustos, Daniel Gacitua organization: Department of Gynecology, Hospital Privado de Córdoba, Córdoba, Argentina – sequence: 16 givenname: Otilio Daniel surname: Rosato fullname: Rosato, Otilio Daniel organization: Department of Gynecology, Hospital Universitario de Maternidad y Neonatología de la Ciudad de Córdoba, Córdoba, Argentina – sequence: 17 givenname: Ricardo Anibal surname: Picciochi fullname: Picciochi, Ricardo Anibal organization: Department of Gynecology, Hospital José María Cullen, Santa Fe, Argentina – sequence: 18 givenname: Rosa María surname: Garrido fullname: Garrido, Rosa María organization: Department of Gynecologic Oncology, Marie Curie, Buenos Aires, Argentina – sequence: 19 givenname: Graciela Lopez surname: de Degani fullname: de Degani, Graciela Lopez organization: Department of Gynecology, Hospital San Martín, Paraná, Entre Ríos, Argentina – sequence: 20 givenname: María Soledad Del Valle surname: Vitale fullname: Vitale, María Soledad Del Valle organization: Department of Gynecology.Hospital General de Agudos José María Penna, Buenos Aires, Argentina – sequence: 21 givenname: Roberto Hugo surname: Navarini fullname: Navarini, Roberto Hugo organization: Department of Gynecology, Hospital Clemente Alvarez, Santa Fe, Argentina – sequence: 22 givenname: Facundo surname: Isnardi fullname: Isnardi, Facundo organization: Department of Gynecology, Hospital Italiano Rosario, Santa Fe, Argentina – sequence: 23 givenname: Gonzalo surname: Franco fullname: Franco, Gonzalo organization: Department of Gynecology, Hospital Nacional de Clínicas, Córdoba, Argentina – sequence: 24 givenname: Mariano surname: Rossini fullname: Rossini, Mariano organization: Department of Gynecology, Clínica del Niño y la Familia, Mar del Plata, Argentina – sequence: 25 givenname: María Mercedes surname: Carrizo fullname: Carrizo, María Mercedes organization: Department of Gynecology, Hospital Zonal Carlos Bocalandro, Buenos Aires, Argentina – sequence: 26 givenname: Myriam surname: Perrotta fullname: Perrotta, Myriam organization: Department of Gynecologic Oncology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina – sequence: 27 givenname: Gabriel surname: Crimi fullname: Crimi, Gabriel organization: Center for Medical Education and Clinical Investigation (CEMIC), Buenos Aires, Argentina |
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| Cites_doi | 10.1001/jama.2017.2068 10.3322/caac.21660 10.1002/ijgo.12612 10.1016/j.ygyno.2012.04.028 10.1200/JCO.2011.38.8645 10.1097/AOG.0000000000004606 10.1016/j.ejca.2016.07.001 10.1200/JCO.2009.22.3248 10.1016/0090-8258(83)90111-7 10.1136/ijgc-2020-002230 10.1016/j.ygyno.2016.10.016 10.1200/JCO.2009.22.3529 10.1097/MD.0000000000001245 |
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| Keywords | Gynecologic surgical procedures Perioperative complications Surgical oncology Endometrial cancer Surgical procedures |
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Oncol. doi: 10.1016/j.ygyno.2016.10.016 contributor: fullname: Fader – volume: 27 start-page: 5337 issue: 32 year: 2009 ident: 10.1016/j.gore.2023.101147_b0045 article-title: Quality of life of patients with endometrial cancer undergoing laparoscopic international federation of gynecology and obstetrics staging compared with laparotomy: a Gynecologic Oncology Group study publication-title: J. Clin. Oncol. doi: 10.1200/JCO.2009.22.3529 contributor: fullname: Kornblith – volume: 94 start-page: e1245 issue: 30 year: 2015 ident: 10.1016/j.gore.2023.101147_b0035 article-title: Laparoscopy versus laparotomy in the treatment of high-risk endometrial cancer: a propensity score matching analysis publication-title: Medicine doi: 10.1097/MD.0000000000001245 contributor: fullname: Gao – ident: 10.1016/j.gore.2023.101147_b0005 |
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| Snippet | •Disease-free survival was not different when comparing laparoscopic versus open surgery.•Overall survival at 2 years in patients with stage I–II high-risk... Compare the perioperative outcomes and disease-free survival between minimally invasive and open surgery in women with stage I-II high-risk endometrial cancer.... ObjectiveCompare the perioperative outcomes and disease-free survival between minimally invasive and open surgery in women with stage I-II high-risk... • Disease-free survival was not different when comparing laparoscopic versus open surgery. • Overall survival at 2 years in patients with stage I–II high-risk... Objective: Compare the perioperative outcomes and disease-free survival between minimally invasive and open surgery in women with stage I–II high-risk... |
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| SubjectTerms | Endometrial cancer Gynecologic surgical procedures Perioperative complications Research Report Surgical oncology Surgical procedures |
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| Title | Minimally invasive surgery versus laparotomy in women with high risk endometrial cancer: A multi-center study performed in Argentina |
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