Multi-center experience of robot-assisted laparoscopic para-aortic lymphadenectomy for staging of locally advanced cervical carcinoma.

摘要: Objectives FIGO classification is commonly used for staging of locally advanced cervical cancer. Laparoscopic para-aortic lymphadenectomy currently as a diagnostic tool, since we know that presence lymph node metastases identifies patients with poor prognosis. The application robotics during this procedure needs to be investigated. Design Retrospective multi-center study. Setting Three centers participated in building one database. Population Thirty-seven cancer underwent robot-assisted laparoscopic lymphadenectomy. Methods Patients were prospectively enrolled register. Retrospective analysis the whole database was performed. Main outcome measures Surgical outcomes and follow-up data. Results Median number nodes collected 27.5 (1–54) per patient. Five 37 had metastases. false negative rate PET-CT diagnosing 11.4% (4/35). Two major intra-operative complications occurred (5.4%). Postoperative morbidity low (13.5%). Median 27 months [95% confidence interval (95% CI) 24–30]. disease-free survival 16 months CI 2.4–29.6). Patients median 24 months (not assessable), although positive 9 months 6.9–11.9). Conclusions In series report lymphadencetomy provided surgeon useful information, occult women Intra-operative postoperative low. correlated shorter survival.