Publication: Survival Analysis in Endometrial Carcinomas by Type of Surgical Approach: A Matched-Pair Study.
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2022-02-21
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Coronado, Pluvio J
Rychlik, Agnieszka
Baquedano, Laura
García-Pineda, Virginia
Martínez-Maestre, Maria A
Querleu, Denis
Zapardiel, Ignacio
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Abstract
(1) Background: This study aimed to analyze the impact of surgical approach on survival rates in women diagnosed with endometrial cancer. (2) Methods: A retrospective multicenter cohort of 1382 women diagnosed with EC was performed. A total of 684 (49.5%) women underwent minimally invasive surgery, 233 (34%) underwent robotic-assisted laparoscopy (RAL), 451 (66%) underwent conventional laparoscopy (LPS), and 698 (50.5%) underwent open surgery (OP). Sociodemographic features, tumor characteristics, and survival rates were analyzed in the whole sample and in a matched-pair model. (3) Results: Women operated on by OP were significantly older, presented more comorbidities, and had more aggressive tumors. Disease-free (DFS), overall (OS), and specific survival related to EC (SS) amounts were significantly higher for MIS compared to OP (p
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endometrial carcinoma, laparoscopy, laparotomy, morbidity, open approach, robotic-assisted laparoscopy, survival