Comparing thermal welding instrument-assisted laparoscopic radical hysterectomy versus conventional radical hysterectomy in the management of FIGO IB1 squamous cell cervical carcinoma

Ching Hui Chen, Peng Hui Wang, Li Hsuan Chiu, Wen Hsun Chang, Wei-Min Liu

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose of investigation: The authors sought to evaluate the feasibility and acceptability of using the thermal welding technique with thermal ligating shear (TWT-TLS)-assisted laparoscopic radical hysterectomy (LRH) and systemic pelvic lymphadenectomy (SPL) in the management of Stage IB1 squamous cell carcinoma of the cervix. Materials and Methods: The authors compared operating time, blood loss, and other intra- and postoperative parameters and outcomes in 53 patients between May 2003 and April 2007. Results: Twenty-three patients were treated with TWT-TLS-assisted LRH and SPL (TWT-TLS group) and 30 patients with abdominal radical hysterectomy (ARH) and SPL (ARH group). The surgical time of the TWT-TLS group was significantly shorter than that of the ARH group (221.4 vs 264.6 min, p <0.05). The blood loss of the TWT-TLS group was less than that of the ARH group (195.7 vs 1,214.7 ml, p <0.001). The immediate postoperative recovery seemed to be rapid in the TWT-TLS group compared with the ARH group (1.4 vs 3.5 days for full diet, p <0.001; 8.32 vs 12.14 days for hospital stay, p <0.001). The recurrence rate between the two groups was similar during the median four-year follow-up (8.7% vs 13.3%). Conclusions: TWT-TLS is a safe and efficient method for laparoscopic RH and SPL with reduction of morbidity for early-stage cervical cancer. A further study is needed to confirm the above observation.

Original languageEnglish
Pages (from-to)442-445
Number of pages4
JournalEuropean Journal of Gynaecological Oncology
Volume34
Issue number5
Publication statusPublished - 2013

Fingerprint

Welding
Hysterectomy
Squamous Cell Carcinoma
Hot Temperature
Lymph Node Excision
Operative Time
Cervix Uteri
Uterine Cervical Neoplasms
Length of Stay
Observation
Diet
Morbidity
Recurrence

Keywords

  • Radical hysterectomy
  • Squamous cell carcinoma of the cervix
  • Systemic pelvic lymphadenectomy
  • Thermal ligating shear
  • Thermal welding instrument

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

Cite this

@article{63391ca7e70843c1b479c42665fd46e3,
title = "Comparing thermal welding instrument-assisted laparoscopic radical hysterectomy versus conventional radical hysterectomy in the management of FIGO IB1 squamous cell cervical carcinoma",
abstract = "Purpose of investigation: The authors sought to evaluate the feasibility and acceptability of using the thermal welding technique with thermal ligating shear (TWT-TLS)-assisted laparoscopic radical hysterectomy (LRH) and systemic pelvic lymphadenectomy (SPL) in the management of Stage IB1 squamous cell carcinoma of the cervix. Materials and Methods: The authors compared operating time, blood loss, and other intra- and postoperative parameters and outcomes in 53 patients between May 2003 and April 2007. Results: Twenty-three patients were treated with TWT-TLS-assisted LRH and SPL (TWT-TLS group) and 30 patients with abdominal radical hysterectomy (ARH) and SPL (ARH group). The surgical time of the TWT-TLS group was significantly shorter than that of the ARH group (221.4 vs 264.6 min, p <0.05). The blood loss of the TWT-TLS group was less than that of the ARH group (195.7 vs 1,214.7 ml, p <0.001). The immediate postoperative recovery seemed to be rapid in the TWT-TLS group compared with the ARH group (1.4 vs 3.5 days for full diet, p <0.001; 8.32 vs 12.14 days for hospital stay, p <0.001). The recurrence rate between the two groups was similar during the median four-year follow-up (8.7{\%} vs 13.3{\%}). Conclusions: TWT-TLS is a safe and efficient method for laparoscopic RH and SPL with reduction of morbidity for early-stage cervical cancer. A further study is needed to confirm the above observation.",
keywords = "Radical hysterectomy, Squamous cell carcinoma of the cervix, Systemic pelvic lymphadenectomy, Thermal ligating shear, Thermal welding instrument",
author = "Chen, {Ching Hui} and Wang, {Peng Hui} and Chiu, {Li Hsuan} and Chang, {Wen Hsun} and Wei-Min Liu",
year = "2013",
language = "English",
volume = "34",
pages = "442--445",
journal = "European Journal of Gynaecological Oncology",
issn = "0392-2936",
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TY - JOUR

T1 - Comparing thermal welding instrument-assisted laparoscopic radical hysterectomy versus conventional radical hysterectomy in the management of FIGO IB1 squamous cell cervical carcinoma

AU - Chen, Ching Hui

AU - Wang, Peng Hui

AU - Chiu, Li Hsuan

AU - Chang, Wen Hsun

AU - Liu, Wei-Min

PY - 2013

Y1 - 2013

N2 - Purpose of investigation: The authors sought to evaluate the feasibility and acceptability of using the thermal welding technique with thermal ligating shear (TWT-TLS)-assisted laparoscopic radical hysterectomy (LRH) and systemic pelvic lymphadenectomy (SPL) in the management of Stage IB1 squamous cell carcinoma of the cervix. Materials and Methods: The authors compared operating time, blood loss, and other intra- and postoperative parameters and outcomes in 53 patients between May 2003 and April 2007. Results: Twenty-three patients were treated with TWT-TLS-assisted LRH and SPL (TWT-TLS group) and 30 patients with abdominal radical hysterectomy (ARH) and SPL (ARH group). The surgical time of the TWT-TLS group was significantly shorter than that of the ARH group (221.4 vs 264.6 min, p <0.05). The blood loss of the TWT-TLS group was less than that of the ARH group (195.7 vs 1,214.7 ml, p <0.001). The immediate postoperative recovery seemed to be rapid in the TWT-TLS group compared with the ARH group (1.4 vs 3.5 days for full diet, p <0.001; 8.32 vs 12.14 days for hospital stay, p <0.001). The recurrence rate between the two groups was similar during the median four-year follow-up (8.7% vs 13.3%). Conclusions: TWT-TLS is a safe and efficient method for laparoscopic RH and SPL with reduction of morbidity for early-stage cervical cancer. A further study is needed to confirm the above observation.

AB - Purpose of investigation: The authors sought to evaluate the feasibility and acceptability of using the thermal welding technique with thermal ligating shear (TWT-TLS)-assisted laparoscopic radical hysterectomy (LRH) and systemic pelvic lymphadenectomy (SPL) in the management of Stage IB1 squamous cell carcinoma of the cervix. Materials and Methods: The authors compared operating time, blood loss, and other intra- and postoperative parameters and outcomes in 53 patients between May 2003 and April 2007. Results: Twenty-three patients were treated with TWT-TLS-assisted LRH and SPL (TWT-TLS group) and 30 patients with abdominal radical hysterectomy (ARH) and SPL (ARH group). The surgical time of the TWT-TLS group was significantly shorter than that of the ARH group (221.4 vs 264.6 min, p <0.05). The blood loss of the TWT-TLS group was less than that of the ARH group (195.7 vs 1,214.7 ml, p <0.001). The immediate postoperative recovery seemed to be rapid in the TWT-TLS group compared with the ARH group (1.4 vs 3.5 days for full diet, p <0.001; 8.32 vs 12.14 days for hospital stay, p <0.001). The recurrence rate between the two groups was similar during the median four-year follow-up (8.7% vs 13.3%). Conclusions: TWT-TLS is a safe and efficient method for laparoscopic RH and SPL with reduction of morbidity for early-stage cervical cancer. A further study is needed to confirm the above observation.

KW - Radical hysterectomy

KW - Squamous cell carcinoma of the cervix

KW - Systemic pelvic lymphadenectomy

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KW - Thermal welding instrument

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