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Research ArticleClinical Studies

Survival After Minimally Invasive Surgery in Older Women With Endometrial Carcinoma

JOEL CARDENAS-GOICOECHEA, YU WANG, JI-HYUN LEE, MASSOUD SHORAKA, SEMIRAMIS L. CARBAJAL-MAMANI, DAVID FISHMAN, ANDREA N. RINER and JOSE G. TREVINO
Anticancer Research January 2022, 42 (1) 75-85; DOI: https://doi.org/10.21873/anticanres.15459
JOEL CARDENAS-GOICOECHEA
1Department of Gynecology. Division Gynecologic Oncology, Cleveland Clinic Florida, Weston, FL, U.S.A.
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  • For correspondence: joelcardenas@yahoo.com cardenj3@ccf.org
YU WANG
2Division of Quantitative Science and Biostatistics Shared Resource, University of Florida Health Cancer Center, Gainesville, FL, U.S.A.
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JI-HYUN LEE
2Division of Quantitative Science and Biostatistics Shared Resource, University of Florida Health Cancer Center, Gainesville, FL, U.S.A.
3Department of Biostatistics, University of Florida College of Medicine, Gainesville, FL, U.S.A.
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MASSOUD SHORAKA
4Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, FL, U.S.A.
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SEMIRAMIS L. CARBAJAL-MAMANI
5Department of Medicine, University of Florida College of Medicine, Gainesville, FL, U.S.A.
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DAVID FISHMAN
6Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York Presbyterian Queens, New York City, NY, U.S.A.
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ANDREA N. RINER
7Department of Surgery, University of Florida College of Medicine, Gainesville, FL, U.S.A.
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JOSE G. TREVINO
8Department of Surgery, Virginia Commonwealth University School of Medicine, Richmond, VI, U.S.A.
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Abstract

Background/Aim: To analyze the impact of minimally invasive surgery for endometrial cancer on overall survival among age >65. Patients and Methods: We examined women who underwent hysterectomy from 2010 to 2015 from the U.S. National Cancer Data Base (NCDB). We evaluated the impact of surgical approach on survival. Results: Of 243,601 endometrial cancer cases, 42,458 met the inclusion criteria. Laparoscopic approach was associated with improved survival by 14% (HR=0.86; 95%CI=0.80-0.92; p<0.001) and robotic approach was associated with improved survival by 12% (HR=0.88; 95%CI=0.83-0.93; p<0.0001), compared to the open approach. Similarly, the weighted adjusted 5-year overall survival was 73.1% (95%CI=72%-74.2%), 76.4% (95%CI=75.1-77.7%), and 75.5% (95%CI=74.7-76.4%) for open, laparoscopic, and robotic approaches, respectively (p<0.001). Conclusion: Minimally invasive surgery improved overall survival in women over 65 years with endometrial cancer.

Key Words:
  • Robotic surgical procedure
  • laparoscopy
  • laparotomy
  • endometrial neoplasm
  • aged
  • survival
  • Received October 11, 2021.
  • Revision received November 8, 2021.
  • Accepted November 9, 2021.
  • Copyright © 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 42 (1)
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Survival After Minimally Invasive Surgery in Older Women With Endometrial Carcinoma
JOEL CARDENAS-GOICOECHEA, YU WANG, JI-HYUN LEE, MASSOUD SHORAKA, SEMIRAMIS L. CARBAJAL-MAMANI, DAVID FISHMAN, ANDREA N. RINER, JOSE G. TREVINO
Anticancer Research Jan 2022, 42 (1) 75-85; DOI: 10.21873/anticanres.15459

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Survival After Minimally Invasive Surgery in Older Women With Endometrial Carcinoma
JOEL CARDENAS-GOICOECHEA, YU WANG, JI-HYUN LEE, MASSOUD SHORAKA, SEMIRAMIS L. CARBAJAL-MAMANI, DAVID FISHMAN, ANDREA N. RINER, JOSE G. TREVINO
Anticancer Research Jan 2022, 42 (1) 75-85; DOI: 10.21873/anticanres.15459
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Keywords

  • Robotic surgical procedure
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