Comparison Between Laparoscopy and Laparotomy in Systematic Para-Aortic Lymphadenectomy for Patients with Endometrial Cancer: A Retrospective Multicenter Study
| Autor: | Noriomi Matsumura, Tsukasa Baba, Tomohito Tanaka, Michiyasu Miki, Tadashi Kimura, Yoshito Terai, Eiji Kobayashi, Daisuke Aoki, Masahide Ohmichi, Shigenori Hayashi |
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| Rok vydání: | 2017 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Ileus medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Laparotomy medicine Stage (cooking) Laparoscopy 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Endometrial cancer Obstetrics and Gynecology Original Articles medicine.disease laparoscopic surgery Surgery 030220 oncology & carcinogenesis endometrial cancer para-aortic lymphadenectomy Lymphadenectomy business Body mass index ileus |
| Zdroj: | Journal of Gynecologic Surgery |
| ISSN: | 1557-7724 1042-4067 |
| DOI: | 10.1089/gyn.2016.0101 |
| Popis: | Objective: Laparoscopic surgery has been developed worldwide due to its minimal invasion as well as noninferiority, compared with laparotomy. However, whether or not laparoscopic systematic para-aortic lymphadenectomy for endometrial cancer is feasible and has advantages of various clinical factors, such as a short hospital stay, less blood loss, and faster recovery, compared with open surgery has not yet been clarified. The aim of this study was to compare a laparoscopic procedure with laparotomy for para-aortic lymphadenectomy for patients with endometrial cancer. Study Design: This was a retrospective multicenter study of laparoscopic systematic para-aortic lymphadenectomy for endometrial cancer in five institutions. Materials and Methods: The current authors conducted a retrospective multicenter study of laparoscopic systematic para-aortic lymphadenectomy for endometrial cancer. The study involved patients from five institutions in Japan between January 2008 and March 2016. Clinical data were compared with those of a laparotomic procedure performed around the same period. Results: A total of 54 patients in the laparoscopic group and 99 patients in the laparotomic group were analyzed. In the laparoscopic group, 21 patients had stage IA disease, 19 had stage IB disease, 5 had stage II disease, and 9 had stage III disease. In the laparotomic group, 35 patients had stage IA disease, 19 had stage IB disease, 9 had stage II disease, and 36 had stage III disease. There were no significant differences in characteristics between the groups, including age, body mass index, and histologic type. The mean operative time in the laparoscopic group was 483 ± 102 minutes, while that in the laparotomic group was 481 ± 106 minutes (p = 0.9). The laparoscopic group had less intraoperative blood loss (143 ± 253 versus 988 ± 694 mL; p |
| Databáze: | OpenAIRE |
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