Observational studyBJOG : an international journal of obstetrics and gynaecology2021
The influence of learning curve of robot-assisted laparoscopy on oncological outcomes in early-stage cervical cancer: an observational cohort study.
Observational study in BJOG : an international journal of obstetrics and gynaecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Learning curves, safety, and experiences of a tertiary surgical center in the introduction of robotic-assisted surgery in gynecologic oncology.Archives of gynecology and obstetrics · 2026Article
- A Minimally Invasive Treatment Approach for Early-Stage Uterine Cervical Cancer: The Impact of the LACC Trial and a Literature Review.Medicina (Kaunas, Lithuania) · 2025Review
- Laparoscopic radical hysterectomy and pelvic lymph node dissection for early cervical cancer effectively improves surgical efficacy.American journal of translational research · 2025Article
- Global trends and hotspots in robotic surgery over the past decade: a bibliometric and visualized analysis.Journal of robotic surgery · 2024Review
- Comparison between learning curves of robot-assisted and laparoscopic surgery in gynaecology: a systematic review.Facts, views & vision in ObGyn · 2024Article
- Feasibility and early oncologic outcomes of Total Intracorporeal Robotic Radical Hysterectomy with Vaginal Cerclage (TIRRHVC) for the treatment of clinical stage IB cervical cancer: A tumor containment technique.Gynecologic oncology reports · 2024Article
- Proficiency-based progression training in robot-assisted laparoscopy for endometrial cancer: peri-operative and survival outcomes from an observational cohort study.Frontiers in medicine · 2024Article
- Comparing surgical outcomes of da Vinci SP and da Vinci Xi for endometrial cancer surgical staging in a propensity score-matched study.Scientific reports · 2023Article
- Junior surgeons are quicker to master the single-port thoracoscopic lobectomy: comprehensive analysis of the learning curve and oncological outcomes.World journal of surgical oncology · 2023Article
- Is there a relationship between surgical proficiency and oncologic outcome of minimally invasive radical hysterectomy for early-stage cervical cancer?International journal of medical sciences · 2023Article
- Feasibility of a drop-in γ-probe for radioguided sentinel lymph detection in early-stage cervical cancer.EJNMMI research · 2022Article
- Minimally Invasive Surgery for Cervical Cancer in Light of the LACC Trial: What Have We Learned?Current oncology (Toronto, Ont.) · 2022Review
- Efficacy evaluation of vaginal-assisted laparoscopic radical hysterectomy and laparoscopic radical hysterectomy for cervical cancer: a single-center retrospective case series study.Annals of translational medicine · 2022Article
- Robot-assisted laparoscopic debulking surgery for recurrent adult granulosa cell tumors.Gynecologic oncology reports · 2021Article
- Major clinical research advances in gynecologic cancer in 2020.Journal of gynecologic oncology · 2021Review
- Evaluating robotic surgical courses: structured training matters.Journal of gynecologic oncology · 2021Article
- The influence of learning curve of robot-assisted laparoscopy on oncological outcomes in early-stage cervical cancer: an observational cohort study.BJOG : an international journal of obstetrics and gynaecology · 2021Observational
- The early surgical period in robotic radical hysterectomy is related to the recurrence after surgery in stage IB cervical cancer.International journal of medical sciences · 2021Article
- Increased Institutional Surgical Experience in Robot-Assisted Radical Hysterectomy for Early Stage Cervical Cancer Reduces Recurrence Rate: Results from a Nationwide Study.Journal of clinical medicine · 2020Article
- Risk factors of cervical cancer and role of primary healthcare providers regarding PAP smears counseling: Case control study.Pakistan journal of medical sciencesArticle
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the learning curve of robot-assisted laparoscopy in early-stage cervical cancer and quantify impact on oncological outcomes.
designObservational cohort study.
settingTertiary referral centre with one surgical team. POPULATION: All women with early-stage cervical cancer treated consecutively with robot-assisted laparoscopy between 2007 and 2017.
methodsWith multivariate risk-adjusted cumulative sum analysis (RA-CUSUM), we assessed the learning curve of robot-assisted laparoscopy of a single surgical team based on cervical cancer recurrence. Subsequently, a survival analysis was conducted comparing oncological outcomes of women treated during different phases of the learning curve.
main outcome measuresSurgical proficiency based on recurrence, survival rates in the different learning phases.
resultsOne hundred and sixty-five women with cervical cancer underwent robot-assisted laparoscopy, with a median follow up of 57 months (range 3-132 months). The RA-CUSUM analysis demonstrated two phases of the learning curve: a learning phase of 61 procedures (group 1) and an experienced phase representing the 104 procedures thereafter (group 2). The 5-year disease-free survival was 80.2% in group 1 and 91.1% in group 2 (P = 0.040). Both the 5-year disease-specific survival and overall survival significantly increased after the learning phase.
conclusionThe learning phase of robot-assisted laparoscopy in early-stage cervical cancer in this institutional cohort is at least 61 procedures, with higher survival rates in the women treated thereafter. The learning curve of robot-assisted laparoscopy affects oncological outcomes and warrants more attention in the design of future studies. TWEETABLE ABSTRACT: The learning curve of robot-assisted laparoscopy in early-stage cervical cancer affects oncological outcomes and warrants more attention.
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