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Reproducibility and accuracy of robot-assisted laparoscopic fertility sparing radical trachelectomy.

Persson, Jan LU ; Imboden, Sara; Reynisson, Petur LU ; Andersson, Björn; Borgfeldt, Christer LU and Bossmar, Thomas LU (2012) In Gynecologic Oncology
Abstract
Objective. To assess the accuracy and reproducibility of robot-assisted laparoscopic abdominal fertility sparing radical trachelectomy in women with early stage cervical cancer. Methods. Relevant prospective clinical data from 13 consecutive women planned for robotic radical trachelectomy between 2007 and 2012 were compared with retrospective data from 12 consecutive women planned for vaginal radical trachelectomy between 2000 and 2007. The first follow up on all women included a similar vaginal ultrasonographic measurement of the remaining cervical length and the position of the cerclage, enabling a direct comparison. Peri- and postoperative clinical data were evaluated. Results. The remaining cervical length was equal between the robotic... (More)
Objective. To assess the accuracy and reproducibility of robot-assisted laparoscopic abdominal fertility sparing radical trachelectomy in women with early stage cervical cancer. Methods. Relevant prospective clinical data from 13 consecutive women planned for robotic radical trachelectomy between 2007 and 2012 were compared with retrospective data from 12 consecutive women planned for vaginal radical trachelectomy between 2000 and 2007. The first follow up on all women included a similar vaginal ultrasonographic measurement of the remaining cervical length and the position of the cerclage, enabling a direct comparison. Peri- and postoperative clinical data were evaluated. Results. The remaining cervical length was equal between the robotic and vaginal procedures (mean 11mm, range 8-13mm; mean 11mm, range 5-19mm respectively, p=0.92). The distance from the cerclage to the inner cervical os was significantly shorter and less variable in the robot group (robot mean 2mm, range of 1-4mm, vaginal mean 4mm, range 2-7mm, p=0.003). Rejection of the cerclage (n=3) and/or cervical stenosis (n=3) was diagnosed in four women, all of whom in the vaginal group, between one and 13months after surgery. Conclusions. Robotic trachelectomy is equally reproducible and accurate as the vaginal trachelectomy in terms of the remaining cervical length and results in a significantly more precise placement of the cerclage. (Less)
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Contribution to journal
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published
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Gynecologic Oncology
publisher
Academic Press
external identifiers
  • wos:000311528500009
  • pmid:22935472
  • scopus:84868582019
ISSN
1095-6859
DOI
10.1016/j.ygyno.2012.08.022
language
English
LU publication?
yes
id
d6e6c545-a51f-4031-8099-4c54d2d32b41 (old id 3124590)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22935472?dopt=Abstract
date added to LUP
2012-10-02 14:34:56
date last changed
2017-10-29 04:27:09
@article{d6e6c545-a51f-4031-8099-4c54d2d32b41,
  abstract     = {Objective. To assess the accuracy and reproducibility of robot-assisted laparoscopic abdominal fertility sparing radical trachelectomy in women with early stage cervical cancer. Methods. Relevant prospective clinical data from 13 consecutive women planned for robotic radical trachelectomy between 2007 and 2012 were compared with retrospective data from 12 consecutive women planned for vaginal radical trachelectomy between 2000 and 2007. The first follow up on all women included a similar vaginal ultrasonographic measurement of the remaining cervical length and the position of the cerclage, enabling a direct comparison. Peri- and postoperative clinical data were evaluated. Results. The remaining cervical length was equal between the robotic and vaginal procedures (mean 11mm, range 8-13mm; mean 11mm, range 5-19mm respectively, p=0.92). The distance from the cerclage to the inner cervical os was significantly shorter and less variable in the robot group (robot mean 2mm, range of 1-4mm, vaginal mean 4mm, range 2-7mm, p=0.003). Rejection of the cerclage (n=3) and/or cervical stenosis (n=3) was diagnosed in four women, all of whom in the vaginal group, between one and 13months after surgery. Conclusions. Robotic trachelectomy is equally reproducible and accurate as the vaginal trachelectomy in terms of the remaining cervical length and results in a significantly more precise placement of the cerclage.},
  author       = {Persson, Jan and Imboden, Sara and Reynisson, Petur and Andersson, Björn and Borgfeldt, Christer and Bossmar, Thomas},
  issn         = {1095-6859},
  language     = {eng},
  month        = {08},
  publisher    = {Academic Press},
  series       = {Gynecologic Oncology},
  title        = {Reproducibility and accuracy of robot-assisted laparoscopic fertility sparing radical trachelectomy.},
  url          = {http://dx.doi.org/10.1016/j.ygyno.2012.08.022},
  year         = {2012},
}