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08 December 2023: Clinical Research

Efficacy Analysis of Neoadjuvant versus Adjuvant Cisplatin-Paclitaxel Regimens for Initial Treatment of FIGO Stages IB3 and IIA2 Cervical Cancer

Wei Tao 1DEF* , Weiqi Wang 1CDF , Jingfang Zhai 2BCF , Linlin Guo 1ABF

DOI: 10.12659/MSM.940545

Med Sci Monit 2023; 29:e940545

Table 4 Operative parameters of patients in the NT cohort.

CharacteristicsNT cohortComparisons
Sensitive to neoadjuvant chemotherapyInsensitive to neoadjuvant chemotherapy
Number of patients8025P valuedfTest value95% CI
Nature of radical hysterectomyRobot-assisted radical hysterectomy45 (56)8 (32)0.0105 (χ test for independence)29.112N/A
Laparoscopic radical hysterectomy32 (40)12 (48)
Abdominal radical hysterectomy (open surgery)3 (4)5 (20)
Intraoperative hemorrhage (mL)421±26539±540.0344 (Unpaired test)1032.1448.790 to 225.69
Parametrium excision (cm)3.53±0.094.03±0.160.0093 (Unpaired -test)1032.6530.1225 to 0.8485
Postoperative complications
Injury to the urinary system0 (0)2 (8)0.0549 (Fisher exact test)N/A0−Infinity to Infinity
Gastrointestinal tract0 (0)5 (20)* 0.0006 (Fisher exact test)N/A0−Infinity to Infinity
Injuries of vessels0 (0)1 (4)0.2381 (Fisher exact test)N/A0−Infinity to Infinity
Infection1 (1)6 (24)* 0.0006 (Fisher exact test)N/A0.17720.02878 to 1.091
Lymphocyst10 (13)1 (4)0.4532 (Fisher exact test)N/A1.2210.9785 to 1.523
Thrombosis0 (0)2 (8)0.0549 (Fisher exact test)N/A0−Infinity to Infinity
Catheter time (days)10.11±0.6113.84±1.2* 0.0046 (Unpaired test)1032.8981.177 to 6.278
Postoperative drainage (mL)2,318±1454,058±447* 0.0009 (Unpaired test with Welch correction)293.7778.04 to 2701.3
Parameters are depicted as frequencies (percentages) or mean±standard error of the mean (SEM). All results were considered significant if the value was less than 0.05.
* Insensitive to neoadjuvant chemotherapy-emergent postoperative complications.
df – degree of freedom; N/A – not applicable; CI – confidence interval (using the approximation of Katz for χ-test). Test value (χ value for χ test, t value for unpaired test, Welch’s approximate t value for unpaired test with Welch correction, relative risk for Fisher exact test).

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750