Role of minimally invasive surgery versus open approach in patients with early-stage uterine carcinosarcomas: a retrospective multicentric study

J Cancer Res Clin Oncol. 2021 Mar;147(3):845-852. doi: 10.1007/s00432-020-03372-x. Epub 2020 Sep 3.

Abstract

Objective: The aim of this retrospective study was to compare surgical and survival outcome in only patients with early-stage UCSs managed by laparotomic surgery (LPT) versus minimally invasive surgery (MIS).

Methods: Data were retrospectively collected in four Italian different institutions. Inclusion criteria were UCS diagnosis confirmed by the definitive histological examination, and stage I or II according to the FIGO staging system.

Results: Between August 2000 and March 2019, the data relative to 170 patients bearing UCSs were collected: of these, 95 were defined as early-stage disease (stage I-II) based on the histological report at the primary surgery, and thus were included in this study. Forty-four patients were managed by LPT, and 51 patients were managed by MIS. The operative time was lower in the MIS group versus the LPT group (p value 0.021); the median estimated blood loss was less in the MIS group compared to the median of LPT group (p value < 0.0001). The length of hospital stay days was shorter in the MIS patients (p value < 0.0001). Overall, there were eight (8.4%) post-operative complications; of these, seven were recorded in the LPT group versus one in the MIS group (p value 0.023). There was no difference in the disease-free survival (DFS) and overall survival (OS) between the two groups.

Conclusion: There was no difference of oncologic outcome between the two approaches, in face of a more favourable peri-operative and post-operative profile in the MIS group.

Keywords: Minimally invasive surgery; Open surgery; Uterine carcinosarcoma.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinosarcoma / pathology
  • Carcinosarcoma / surgery*
  • Chemotherapy, Adjuvant
  • Female
  • Humans
  • Hysterectomy / methods
  • Laparotomy / adverse effects
  • Laparotomy / methods
  • Lymph Nodes / pathology
  • Lymphatic Metastasis
  • Middle Aged
  • Minimally Invasive Surgical Procedures / adverse effects
  • Minimally Invasive Surgical Procedures / methods
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Staging
  • Postoperative Complications / etiology
  • Radiotherapy, Adjuvant
  • Retrospective Studies
  • Treatment Outcome
  • Uterine Neoplasms / pathology
  • Uterine Neoplasms / surgery*