Quality of life in cervical cancer survivors after radical hysterectomy via laparoscopy or laparotomy / 中国实用妇科与产科杂志

ABSTRACT

OBJECTIVE: To study the difference between laparoscopic and open radical surgery in long-term quality of life(QOL)in cervical cancer survivors.METHODS: The patients with cervical cancer who were followed up in the Outpatient Department of Peking Union Medical College Hospital(PUMCH)from October 2017 to October 2018 were selected for life quality assessment by the EORTC questionnaires,QLQ-C30 and QLQ-Cx24.RESULTS: A total of 319 patients with primary cervical cancer were included in the study.Of all enrolled patients,262 underwent laparoscopic radical hysterectomy while 57 received laparotomy.All patients completed personal information survey,of which 102 patients reported urinary symptoms and 68 reported colorectal symptoms.There were no significant differences in the age of diagnosis,ovarian retention,and postoperative adjuvant radiotherapy between the laparoscopic and open surgery groups.The QLQ-C30 scores showed that the overall quality of life scale items for the laparoscopic and open group were 83.3(0-100)and 95.6(41.7-100)points,respectively,with no statistically significant difference between the two groups(P=0.931).CONCLUSION: Laparoscopic and laparotomic radical hysterectomy are similar in long-term QOL in cervical cancer survivors.