Surgical Film Library-Therapeutic effect of extended pelvic lymphadenectomy in cervical cancer: a propensity-score matched cohort study 2

Therapeutic effect of extended pelvic lymphadenectomy in cervical cancer: a propensity-score matched cohort study 2

Video Transcription

Video Summary

This retrospective study compared survival outcomes in 222 matched cervical cancer patients (stage 1B-2A) who underwent radical hysterectomy with either extended or conventional pelvic lymphadenectomy. Over a median 59-month follow-up, the extended lymphadenectomy group showed significantly higher overall survival (95.5% vs. 87.4%) and disease-free survival (82.9% vs. 75.7%) and lower risks of death and recurrence. Despite longer operations, hospital stays, and increased complications, extended lymphadenectomy independently predicted improved disease-free survival. Limitations include retrospective design and lack of quality-of-life data. Extended lymphadenectomy may offer better survival but requires careful patient-specific risk-benefit evaluation.

Asset Subtitle

Yoon Soon Lee, South Korea

Meta Tag

Procedure Type Pelvic Lymph node dissection

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

Pelvic Lymph node dissection

MIS-Robotic

Pelvis

Expert

cervical cancer

radical hysterectomy

extended pelvic lymphadenectomy

survival outcomes

disease-free survival