RT Journal Article
SR Electronic
T1 2022-RA-1217-ESGO Succor Morbidity. Intraoperative and postoperative complications inminimally invasive versus open radical hysterectomy in early cervical cancer
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP A46
OP A46
DO 10.1136/ijgc-2022-ESGO.100
VO 32
IS Suppl 2
A1 Daniel Vázquez Vicente
A1 Felix Boria
A1 Teresa Castellanos
A1 Mónica Gutiérrez
A1 Enrique Chacon
A1 Nabil Manzour
A1 JA Minguez
A1 JL Alcázar
A1 Luis Chiva
YR 2022
UL http://ijgc.bmj.com/content/32/Suppl_2/A46.1.abstract
AB Introduction/Background The aim of this study is to compare the incidence of intra and postoperative complications in both approaches.Methodology We review data from the SUCCOR study (1272 patients with IB1 cervical cancer with a radical hysterectomy performed during 2013–2014). We review the duration of the surgeries, the estimated blood loss, and lenghtstay. Regarding intraoperative complications we looked for bleeding, ureteralinjury, bladderinjury, vascular injury, bowel injury and nerve injury. Regarding postoperative complications we looked for abdominal wall infection, vaginal bleeding, vaginal cuff celulitis, vaginal cuff dehiscence, fever, postoperative bleeding, bladder dysfunction, urinary infection, hematuria, incontinence, bladder fistula, ureteral fistula, bowel obstruction, pulmonary embolism, pneumonia, pleural effusion, lymphorragia and quilous ascites.Results We noticed than in the MIS compared with abdominal surgery the duration of the surgery was longer (246 vs. 196 minutes) (p<0,01), the estimated blood loss was lower (171 vs 418 mls) (p<0,01) and the lenghtstay was shorter (4,7 vs 8,3 days) (p<0,01) We did not find any difference in overall incidence of intraoperative and postoperative complications in the MIS compared with open group. However we found that in the MIS the incidence of vaginal bleeding (2.9% vs 0.6%); p<0,01, the incidence of vaginal cuff celulitis(2,9 vs 0,8%); p<0,01 and the vaginal cuff dehiscence were higuer than in the open group (3,3 vs 0,5%); (p <0,01). Regarding Grade III clavien dindo complications, in the open group bladder disfunction (1,3 vs 0,2%) (p 0,046), and abdominal wall infection were higuer (1,1 vs 0%)(p 0,018) than in the minimal invasive group.Nevertheless Ureteral fistula was higuer in the MIS than in the open group(1,7 vs 0,5%)(p 0,037)Conclusion We did not find any difference in the overall incidence of intra and postoperative complications in the SUCCOR study when comparing the MIS arm vs open group arm