Surgically managed stage I endometrial cancer in a low-volume center: outcomes and complications in a military residency program.

Autor: Reed BG; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brooke Army Medical Center, Ft. Sam Houston, TX 78234, USA., Lowery WJ, Keyser EA, Kost ER, Sundborg MJ, Winter WE 3rd, Landt C, Leath CA 3rd
Jazyk: angličtina
Zdroj: American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2011 Oct; Vol. 205 (4), pp. 356.e1-5. Date of Electronic Publication: 2011 May 10.
DOI: 10.1016/j.ajog.2011.05.007
Abstrakt: Objective: The purpose of this study was to compare operative outcomes and complications for patients with endometrial cancer who underwent staging by laparoscopy vs laparotomy in a low-volume facility.
Study Design: Research was conducted with a retrospective cohort of surgical patients with clinical stage I endometrial cancer from 2004-2009.
Results: Eighty-six demographically similar patients (50 laparotomy and 36 laparoscopy) were identified. Laparoscopy had less estimated blood loss (339 vs 558 mL; P = .013) and lower rates of transfusion (5.6% vs 24%; P = .02). Laparoscopy was longer (281 vs 202 minutes; P < .0005) but required a shorter hospital stay (2.2 vs 5.5 days; P < .0005). Laparoscopy patients had fewer overall complications (16.7% vs 32%; P = .11). No differences in final surgical stage or lymph node yields between the groups were present.
Conclusion: Although a longer procedure, laparoscopy had fewer complications and shorter hospital stays. Prolonged operative time, compared with published experience, is potentially the result of unique factors in our center.
(Published by Mosby, Inc.)
Databáze: MEDLINE
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