2022-RA-1217-ESGO Succor Morbidity. Intraoperative and postoperative complications inminimally invasive versus open radical hysterectomy in early cervical cancer

Introduction/BackgroundThe aim of this study is to compare the incidence of intra and postoperative complications in both approaches.MethodologyWe review data from the SUCCOR study (1272 patients with IB1 cervical cancer with a radical hysterectomy performed during 2013–2014). We review the duration of the surgeries, the estimated blood loss, and lenghtstay. Regarding intraoperative complications we looked for bleeding, ureteralinjury, bladderinjury, vascular injury, bowel injury and nerve injury. Regarding postoperative complications we looked for abdominal wall infection, vaginal bleeding, vaginal cuff celulitis, vaginal cuff dehiscence, fever, postoperative bleeding, bladder dysfunction, urinary infection, hematuria, incontinence, bladder fistula, ureteral fistula, bowel obstruction, pulmonary embolism, pneumonia, pleural effusion, lymphorragia and quilous ascites.ResultsWe noticed than in the MIS compared with abdominal surgery the duration of the surgery was longer (246 vs. 196 minutes) (p<0,01), the estimated blood loss was lower (171 vs 418 mls) (p<0,01) and the lenghtstay was shorter (4,7 vs 8,3 days) (p<0,01) We did not find any difference in overall incidence of intraoperative and postoperative complications in the MIS compared with open group. However we found that in the MIS the incidence of vaginal bleeding (2.9% vs 0.6%); p<0,01, the incidence of vaginal cuff celulitis(2,9 vs 0,8%); p<0,01 and the vaginal cuff dehiscence were higuer than in the open group (3,3 vs 0,5%); (p <0,01). Regarding Grade III clavien dindo complications, in the open group bladder disfunction (1,3 vs 0,2%) (p 0,046), and abdominal wall infection were higuer (1,1 vs 0%)(p 0,018) than in the minimal invasive group.Nevertheless Ureteral fistula was higuer in the MIS than in the open group(1,7 vs 0,5%)(p 0,037)ConclusionWe did not find any difference in the overall incidence of intra and postoperative complications in the SUCCOR study when comparing the MIS arm vs open group arm