Role of minimally invasive surgery versus open approach in patients with early-stage uterine carcinosarcomas: a retrospe
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ORIGINAL ARTICLE – CLINICAL ONCOLOGY
Role of minimally invasive surgery versus open approach in patients with early‑stage uterine carcinosarcomas: a retrospective multicentric study Giacomo Corrado1 · Francesca Ciccarone1 · Francesco Cosentino2 · Francesco Legge3 · Andrea Rosati1 · Martina Arcieri1 · Luigi Carlo Turco2,4 · Camilla Certelli5 · Alex Federico1 · Enrico Vizza5 · Francesco Fanfani1,6 · Giovanni Scambia1,6 · Gabriella Ferrandina1,6 Received: 18 July 2020 / Accepted: 19 August 2020 © The Author(s) 2020
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
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