Laparoscopic surgery for early endometrial cancer
| Autor: | Martin Rudnicki, Gitte Bennich, Pernille Danneskiold Lassen |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Laparoscopic surgery medicine.medical_specialty Ovariectomy medicine.medical_treatment Operative Time Gynecologic oncology Hysterectomy Body Mass Index Pelvis Salpingectomy 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Hernia Obesity Laparoscopy Aged Retrospective Studies Aged 80 and over 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Endometrial cancer General surgery Obstetrics and Gynecology Postoperative complication General Medicine Perioperative Middle Aged medicine.disease Endometrial Neoplasms Treatment Outcome 030220 oncology & carcinogenesis Laparoscopy cancer obesity hysterectomy oncologic gynecology lymph-node dissection obese women gynecologic-oncology robotic surgery laparotomy hysterectomy multicenter experience management survival Obstetrics & Gynecology Lymph Node Excision Female Clinical Competence business Carcinoma Endometrioid Learning Curve |
| Zdroj: | Bennich, G, Rudnicki, M & Lassen, P D 2016, ' Laparoscopic surgery for early endometrial cancer ', Acta Obstetricia et Gynecologica Scandinavica, vol. 95, no. 8, pp. 894-900 . https://doi.org/10.1111/aogs.12908 |
| ISSN: | 0001-6349 |
| DOI: | 10.1111/aogs.12908 |
| Popis: | Introduction The purpose of the present study was to evaluate learning curves and short-term outcomes following laparoscopic surgery for early endometrial cancer in women of different body mass index (BMI) classes. Material and methods Data from 227 women planned for laparoscopic surgery for presumed stage I endometrial cancer were collected retrospectively from a Danish gynecologic oncology unit. Surgery included laparoscopic hysterectomy and bilateral salpingo-oophorectomy with or without pelvic lymphadenectomy (PLA). Results Median length of operations was 60 min (range, 30-197) and 120 min (range, 60-230), depending on whether PLA was included. The median pelvic lymph node yield was 18 (range, 7-42). For staging with PLA there was a learning curve when measured as operative time as well as lymph node yield, and a level of proficiency was not reached after 40 operations. The women had a perioperative complication rate of 4.5% and a median hospital stay of one night. Postoperative complication rate was 12%, comprising vaginal cuff hematoma (3.1%), vaginal cuff rupture (0.9%), trocar hernia (1.3%), ureter lesion (0.4%), bowel lesion (0.4%), reoperation (0.9%) and other complications (4.5%). All peri- and postoperative outcomes were independent of BMI classes. Conclusions Our data suggest that laparoscopic surgery for early endometrial cancer is feasible and safe. With increasing surgeon's experience there is a significant decrease in operative time and increase in the number of lymph nodes harvested. In experienced hands, either operative time, complications or length of stay are not affected by increasing BMI, even when women are morbidly obese. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|