{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T18:58:12Z","timestamp":1772305092630,"version":"3.50.1"},"reference-count":59,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T00:00:00Z","timestamp":1650326400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004945","name":"Nankai University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004945","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the efficacy and safety of five different approaches to cervical cancer surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a systematic search for comparative studies on different radical hysterectomy types for cervical cancer in PubMed, Embase, the Cochrane Library, and Web of Science databases. All included observational studies used survival analyses to compare clinical outcomes of patients undergoing different radical hysterectomy types. All studies were assessed by the Newcastle\u2010Ottawa Scale with scores of at least seven points. We extracted the relevant data and conducted a network meta\u2010analysis to compare clinical outcomes among five surgical approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty studies (<jats:italic>n<\/jats:italic>\u00a0=\u200911\u2009353) were included. Robotic surgery had the lowest blood loss volume and hospitalization duration; open surgery had the shortest operative time. Vaginal assisted laparoscopic surgery was associated with the highest number of resected lymph nodes and lowest rate of perioperative complications. Survival outcomes and tumor recurrence outcomes were similar among the approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The current approaches to cervical cancer surgery have comparable efficacies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14209","type":"journal-article","created":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T07:51:16Z","timestamp":1649058676000},"page":"28-37","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Outcomes associated with different surgical approaches to\u00a0radical hysterectomy: A systematic review and network meta\u2010analysis"],"prefix":"10.1002","volume":"160","author":[{"given":"Xinmeng","family":"Guo","sequence":"first","affiliation":[{"name":"College of Medicine Nankai University  Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuang","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinning","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanfei","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5942-4121","authenticated-orcid":false,"given":"Yuanqing","family":"Yao","sequence":"additional","affiliation":[{"name":"College of Medicine Nankai University  Tianjin China"},{"name":"Department of Obstetrics and Gynecology Chinese PLA General Hospital  Beijing China"},{"name":"The University of Hong Kong\u2014Shenzhen Hospital  Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.7314\/APJCP.2014.15.22.10003"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1906.25210230005001b"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(92)91351-A"},{"key":"e_1_2_10_6_1","first-page":"711","article-title":"Total laparoscopic radical hysterectomy: a change in practice for the management of early stage cervical cancer in a U.K. cancer center","volume":"36","author":"Angelopoulos G","year":"2015","journal-title":"Eur J Gynaecol Oncol"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2019.05.019"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000283375"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/IGC.0b013e3181bf80ee"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02479.x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1804923"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1806395"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2018.36.15_suppl.5502"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2020.1694"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2019.05.016"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v7.i20.3185"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2018.09.013"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30081-4"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2019.07.019"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"e_1_2_10_21_1","unstructured":"WellsGA O'ConnellD PetersonJ WelchV LososM P. 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