دورية أكاديمية
First experience of the Egyptian National Cancer Institute using the robot-assisted laparoscopic approach in radical hysterectomies for cervical cancer.
| العنوان: | First experience of the Egyptian National Cancer Institute using the robot-assisted laparoscopic approach in radical hysterectomies for cervical cancer. |
|---|---|
| المؤلفون: | Zaghloul AS; Department of Surgical Oncology, National Cancer Institute, Cairo University, Egypt., El-Minawi AM; Department of Gynecology and Obstetrics, Kasr Alainy (Faculty of Medicine), Cairo University, Egypt., ElKordy MA; Department of Surgical Oncology, National Cancer Institute, Cairo University, Egypt. Electronic address: mohamed.atef@nci.cu.edu.eg., Younes AK; Department of Surgical Oncology, National Cancer Institute, Cairo University, Egypt., Mahmoud AM; Department of Surgical Oncology, National Cancer Institute, Cairo University, Egypt., Fadlalla WM; Department of Surgical Oncology, National Cancer Institute, Cairo University, Egypt., Mohamed GA; Department of Surgical Oncology, National Cancer Institute, Cairo University, Egypt. |
| المصدر: | Journal of the Egyptian National Cancer Institute [J Egypt Natl Canc Inst] 2018 Jun; Vol. 30 (2), pp. 61-67. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SpringerOpen Country of Publication: England NLM ID: 9424566 Publication Model: Print Cited Medium: Internet ISSN: 2589-0409 (Electronic) Linking ISSN: 11100362 NLM ISO Abbreviation: J Egypt Natl Canc Inst Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2019- : London : SpringerOpen Original Publication: Cairo, Egypt : National Cancer Institute |
| مواضيع طبية MeSH: | Robotic Surgical Procedures*, Hysterectomy/*methods , Neoplasm Recurrence, Local/*surgery , Uterine Cervical Neoplasms/*surgery, Adenocarcinoma/pathology ; Adenocarcinoma/surgery ; Adult ; Aged ; Carcinoma, Squamous Cell/pathology ; Carcinoma, Squamous Cell/surgery ; Egypt ; Female ; Humans ; Lymph Node Excision/methods ; Lymph Nodes/pathology ; Lymph Nodes/surgery ; Middle Aged ; Neoplasm Recurrence, Local/pathology ; Neoplasm Staging ; Postoperative Complications/pathology ; Treatment Outcome ; Uterine Cervical Neoplasms/pathology |
| مستخلص: | Aim of Work: Robotics in surgery led to an improvement of visualization, a better handling of tissues and better suturing. This study aimed to document the first experience of the Egyptian National Cancer Institute (NCI) using the robot-assisted laparoscopic approach in radical hysterectomies for cervical cancer and to highlight observed advantages, disadvantages, morbidity and oncological outcomes. Patients and Methods: Data of cases that had either early cervical cancer (stage IB-IIA1 with a tumor ≥2 cm) or locally advanced cervical cancer (Stage IIA2-IIB after chemo-radiotherapy) were collected prospectively. Study patients underwent robotic radical hysterectomies for their cervical cancers at the NCI, Cairo University, between January 1, 2015 and December 31, 2016. For each patient, duration of surgery, amount of blood loss, and intra-operative complications were recorded. Similarly, the duration of postoperative hospital-stay, analgesia used and post-operative gastrointestinal recovery were documented. Pathological assessment of safety margins and the lymph nodes number yield were also assessed. Results: Twenty patients underwent robotic radical hysterectomy during the study period. Twelve cases had early cervical cancer while 8 suffered locally advanced disease. The mean procedure time was 319 (range 240-560) minutes; the mean blood loss was 309 (range 150-600) ml. Three cases had bladder injuries during their procedures. The median hospital stay was 6 (range 4-10) days. One case had a positive margin. The median of lymph nodes yield number was 15 (range 10-25). Follow-up ranged 9-31 months, with only one case developing local recurrence. Conclusion: Robotic radical hysterectomy is a feasible approach with a tolerable rate of complications. (Copyright © 2018 National Cancer Institute, Cairo University. Production and hosting by Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Cervical cancer; Minimally invasive; Radical hysterectomy; Robotic |
| تواريخ الأحداث: | Date Created: 20180426 Date Completed: 20180927 Latest Revision: 20200413 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jnci.2018.03.003 |
| PMID: | 29691094 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2589-0409 |
|---|---|
| DOI: | 10.1016/j.jnci.2018.03.003 |