A meta-analysis comparing open and minimally invasive cervical tumor surgery wound infection and postoperative complications
2024

Comparing Open and Minimally Invasive Surgery for Cervical Cancer

Sample size: 11631 publication 10 minutes Evidence: high

Author Information

Author(s): Song Ran, Ma Mingming, Yang Nana, Chen Chunfang, Wang Huan, Li Juan

Primary Institution: Department of Gynecology, Maternal & Child Health Center Of Dezhou, China

Hypothesis

What is the impact of open surgical care compared to minimally invasive surgery on wound infection and postoperative complications in female cervical cancer patients?

Conclusion

Minimally invasive surgery resulted in significantly lower rates of wound infection and postoperative complications compared to open surgical care in female cervical cancer patients.

Supporting Evidence

  • Minimally invasive surgery significantly reduced wound infection rates compared to open surgical care.
  • Postoperative aggregate complications were also lower in the minimally invasive surgery group.
  • There was no significant difference in pelvic infection and abscess rates between the two surgical methods.

Takeaway

This study found that women with cervical cancer who had minimally invasive surgery had fewer infections and complications than those who had open surgery.

Methodology

A meta-analysis of 44 studies involving 11,631 female cervical cancer patients was conducted to compare the effects of open surgical care and minimally invasive surgery.

Potential Biases

There may be a risk of bias due to the exclusion of certain studies and the quality of the included studies.

Limitations

Some studies included in the meta-analysis had small sample sizes, which may affect the reliability of the results.

Participant Demographics

The study included 11,631 female patients with cervical cancer, with 5,072 undergoing minimally invasive surgery and 6,559 undergoing open surgical management.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI, 0.13–0.29 for wound infection; 95% CI, 0.38–0.62 for postoperative complications

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/s12893-024-02713-8

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