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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 68 - 74 (7page)
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Purpose: There is lack of data on direct comparison of survival outcomes between open surgery and robot-assisted staging surgery(RSS) using three robotic arms for endometrial cancer. The purpose of this study was to compare the overall survival (OS)and disease-free survival (DFS) between open surgery and RSS using three robotic arms for endometrial cancer. Materials and Methods: Consecutive women with endometrial cancer who underwent surgery between May 2006 and May 2018were identified. Robotic procedures were performed using the da Vinci robotic system, and the robotic approach consisted ofthree robotic arms including a camera arm. Propensity score matching, as well as univariate and multivariate Cox regression ofOS and DFS were performed according to clinicopathologic data and surgical method. Results: The study cohort included 423 unselected patients with endometrial cancer, of whom 218 underwent open surgery and205 underwent RSS using three robotic arms. Propensity score-matched cohorts of 146 women in each surgical group showed nosignificant differences in survival: 5-year OS of 91% vs. 92% and DFS of 86% vs. 89% in the open and robotic cohorts, respectively(hazard ratio, 1.02; 95% confidence interval, 0.82?1.67). In the univariate analysis with OS as the endpoint, surgical method, age,stage, type II histology, grade, and lymph node metastasis were independently associated with survival. Surgical stage, grade, andtype II histology were found to be significant independent predictors for OS in the multivariate analysis. Conclusion: RSS using three robotic arms and laparotomy for endometrial carcinoma had comparable survival outcomes.
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참고문헌 (35)
참고문헌 신청
Siegel RL / 2019 / Cancer statistics, 2019 / CA Cancer J Clin 69:7~34
Mourits MJ / 2010 / Safety of laparoscopy versus laparotomy in earlystage endometrial cancer : a randomised trial / Lancet Oncol 11:763~771
Wright JD / 2012 / Contemporary management of endometrial cancer / Lancet 379:1352~1360
Walker JL / 2012 / Recurrence and survival after random assignment to laparoscopy versus laparotomy for comprehensive surgical staging of uterine cancer : Gynecologic Oncology Group LAP2 Study / J Clin Oncol 30:695~700
Chu LH / 2016 / Comparison of the laparoscopic versus conventional open method for surgical staging of endometrial carcinoma / Taiwan J Obstet Gynecol 55:188~192
Mourits MJ / 2010 / Safety of laparoscopy versus laparotomy in earlystage endometrial cancer : a randomised trial / Lancet Oncol 11:763~771
Wright JD / 2012 / Contemporary management of endometrial cancer / Lancet 379:1352~1360
Walker JL / 2012 / Recurrence and survival after random assignment to laparoscopy versus laparotomy for comprehensive surgical staging of uterine cancer : Gynecologic Oncology Group LAP2 Study / J Clin Oncol 30:695~700
Chu LH / 2016 / Comparison of the laparoscopic versus conventional open method for surgical staging of endometrial carcinoma / Taiwan J Obstet Gynecol 55:188~192
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