1. The incidence of urologic complications requiring urologic procedure in radical hysterectomy and difference between abdominal radical hysterectomy and laparoscopic radical hysterectomy
- Author
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Jong Ha Hwang, Bo Wook Kim, Ho Jin Jeong, and Hyeongsu Kim
- Subjects
Big Data ,medicine.medical_specialty ,Uterine Cervical Neoplasm ,medicine.medical_treatment ,Uterine Cervical Neoplasms ,Hysterectomy ,Urologic Surgical Procedure ,Cervix ,Postoperative Complications ,Abdomen ,Medicine ,Humans ,Radical Hysterectomy ,Laparoscopy ,Intraoperative Complications ,Neoplasm Staging ,Retrospective Studies ,medicine.diagnostic_test ,business.industry ,Incidence (epidemiology) ,Incidence ,Obstetrics and Gynecology ,General Medicine ,Odds ratio ,Perioperative ,Confidence interval ,Surgery ,Oncology ,Urologic Surgical Procedures ,Original Article ,Female ,business - Abstract
Objective To evaluate the incidence of urologic complications requiring a urologic procedure during the perioperative period and compare the differences between abdominal radical hysterectomy (ARH) and laparoscopic radical hysterectomy (LRH). Methods We identified all Korean women who underwent radical hysterectomy (RH) between January 2006 and December 2019 using the National Health Insurance Service database. Complications requiring surgical intervention-based urologic procedures between ARH and LRH were investigated. Results A total of 12,068 patients were classified into the ARH group and 8,837 patients were classified into the LRH group. Urologic complications requiring urologic procedures occurred in 1,546 of 20,905 patients (7.40%) who underwent RH. The most common urologic procedure was double-J insertion (R326, 5.18%), followed by bladder repair (R3550, 0.90%). There was no significant difference in urologic complications requiring urologic procedures between the ARH and LRH groups (odds ratio [OR]=1.027; 95% confidence interval [CI]=0.925–1.141; p=0.612). The incidence of bladder repair (R3550) was significantly higher in patients who underwent LRH (OR=1.620; 95% CI=1.220–2.171; p, Synopsis Previous studies have been insufficient to detect clinically significant difference in urologic complications between abdominal radical hysterectomy (ARH) and laparoscopic radical hysterectomy (LRH). It is clinically more important to evaluate urologic complications that require urologic procedures rather than urologic complications alone. The incidence of urologic complications requiring urologic procedures related to radical hysterectomy was evaluated using data from the National Health Insurance Service. There was no difference in urologic complications between ARH and LRH.
- Published
- 2021