Surgical Film Library-Comparison of surgical and clinical outcomes between total mesometrial resection method and conventional robotic radical hysterectomy for cervical cancer; a propensity score matching analysis

Comparison of surgical and clinical outcomes between total mesometrial resection method and conventional robotic radical hysterectomy for cervical cancer; a propensity score matching analysis

Back to course

Video Transcription

Video Summary

This study compared conventional robot nerve-sparing radical hysterectomy (CRRH) and total mesometrial resection robot radical hysterectomy (TMMR-RRH) in cervical cancer patients. Analyzing 132 matched patients, TMMR-RRH showed shorter operation times, higher lymph node retrieval, but increased blood loss compared to CRRH. Complication rates and survival outcomes—overall survival and disease-free survival—were similar between groups with no statistical significance. Recurrence patterns differed significantly, though time to recurrence did not. Involvement of resection margins was a key risk factor for survival. The retrospective study highlights TMMR-RRH's surgical benefits but no survival advantage, recommending larger studies to confirm findings and refine techniques.

Asset Subtitle

Yoon Soon Lee, South Korea

Meta Tag

Procedure Type Radical Hysterectomy

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Radical Hysterectomy

robotic radical hysterectomy

total mesometrial resection

cervical cancer

surgical outcomes

lymph node retrieval

Yoon Soon Lee