Minimally Invasive Surgery for Cervical Cancer Linked to More Deaths, Cancer Recurrence than Open Surgery, Studies Find

November 7, 2018 | Risk Management News


For radical hysterectomies in patients with early cervical cancer, minimally invasive surgery (MIS) is linked to more deaths and more cancer recurrence than open surgery, according to a pair of studies published October 31, 2018, in the New England Journal of Medicine. In a randomized trial, researchers assigned 319 patients to MIS (laparoscopic or robot-assisted surgery) and 312 patients to open surgery. Three years after surgery, 97% of patients in the open surgery group had survived without recurrence of disease, compared with only 91% of patients in the MIS group. The differences between the groups remained even after the researchers adjusted for stage of disease, lymphovascular invasion, lymph node involvement, body-mass index, and age. Overall survival at three years also differed: 99% in the open surgery group versus 94% in the MIS group.

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