Evidence map›Paper›PMID 41312630›Full record

ArticleJournal of gynecologic oncology2026

Laparoscopic radical hysterectomy after the LACC trial, avoiding uterine manipulator, pre-colpotomy vaginal washing and clamping, and uterine removal using a retrieval bag: a retrospective study.

Kenro Chikazawa, Akira Fujimori, Ken Imai, Hiroyoshi Ko, Tomoyuki Kuwata

Abstract read
In one paragraph

Article in Journal of gynecologic oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kenro Chikazawa *Department of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Kawagoe, Japan. kendokenro@hotmail.com.ORCID https://orcid.org/0000-0002-8839-4483
Akira Fujimori *Department of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Kawagoe, Japan.ORCID https://orcid.org/0009-0006-1834-4989
Ken ImaiDepartment of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Kawagoe, Japan.ORCID https://orcid.org/0000-0002-7593-7960
Hiroyoshi KoDepartment of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Kawagoe, Japan.ORCID https://orcid.org/0009-0004-5009-8963
Tomoyuki KuwataDepartment of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Kawagoe, Japan.ORCID https://orcid.org/0000-0002-9334-6670

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to retrospectively evaluate and compare the recurrence-free survival (RFS) between abdominal radical hysterectomy (ARH) and laparoscopic radical hysterectomy (LRH) while avoiding the use of a uterine manipulator, vaginal washing and clamping before colpotomy, and removal of the uterus with a retrieval bag.

methodsThis study included patients with cervical cancer, classified by the International Federation of Obstetrics and Gynecologists (2018) as preoperative stages IB1, IB2, and IIA1, who underwent radical hysterectomy at our institution between October 2009 and August 2023.

resultsOverall, 103 patients with cervical cancer who underwent radical hysterectomy were included in this study. ARH was performed in 71 patients and LRH in 32. The median follow-up periods were 60 and 50 months for patients who underwent ARH and LRH, respectively. No significant difference was observed in the RFS between the ARH and LRH groups. Furthermore, after adjusting for inverse probability weighting, there was no significant difference in the RFS between the ARH and LRH groups. Similarly, no significant difference in overall survival was observed between the 2 groups.

conclusionThe RFS after LRH in patients with early-stage cervical cancer did not differ significantly from that in patients who underwent ARH when avoiding the uterine manipulator and tumor isolation method.

Indexed as

HysterectomyLaparoscopyUterine Cervical NeoplasmsAdultAgedColpotomyDisease-Free SurvivalFemaleHumansMiddle AgedNeoplasm StagingRetrospective StudiesUterusColpotomyDisease-Free SurvivalHysterectomyMinimally Invasive Surgical ProceduresUterine Cervical Neoplasms

Identifiers

PMID41312630
PMCPMC13226061

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.