A Prospective Analysis of Laparoscopic Management of Endometrial Cancer in a Tertiary Care Centre
| Autor: | Malathi Ezhilmani, Devi Balasubramaniam, Kodeeswari Periyasamy, Kavitha Yogini Duraisamy |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine business.industry General surgery medicine.medical_treatment Endometrial cancer Obstetrics and Gynecology Disease medicine.disease Tertiary care 03 medical and health sciences 0302 clinical medicine Chylous ascites Laparotomy Carcinoma medicine Original Article 030212 general & internal medicine Stage (cooking) business Prospective cohort study |
| Zdroj: | J Obstet Gynaecol India |
| ISSN: | 0975-6434 0971-9202 |
| DOI: | 10.1007/s13224-020-01405-6 |
| Popis: | BACKGROUND: Laparoscopic management of endometrial cancer is beneficial in view of decreased operative morbidity and post-operative recovery. In the case of early gynaecological malignancies, it is a safe and feasible mode of surgery. METHODS: A prospective study was conducted in our tertiary centre in the period January 2017–December 2019. The study included 51 patients diagnosed with endometrial carcinoma. Demographic details and operative findings have been recorded. RESULTS: The mean age was 55.47 years; 64.7% were post-menopausal. 86.2% had stage IA disease. All patients underwent laparoscopic staging. The mean operative time was 115 min, estimated blood loss was 82.5 ml, pelvic nodal yield was 13.53, and para-aortic nodes were 20.78. There were no conversions to laparotomy or any intra-operative complications, and none of the patients had recurrence. During post-operative follow-up, 2 patients had lymphocyst, 1 had chylous ascites and 1 had port site hernia. Average hospital stay was 3 days. CONCLUSION: In our study, we found that laparoscopic management of endometrial cancer is less morbid and has better post-operative recovery. |
| Databáze: | OpenAIRE |
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