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Safety of total laparoscopic modified radical hysterectomy with or without lymphadenectomy for endometrial cancer
- Source :
- Gynecology and Minimally Invasive Therapy, Vol 6, Iss 1, Pp 6-11 (2017)
- Publication Year :
- 2017
- Publisher :
- Wolters Kluwer Medknow Publications, 2017.
-
Abstract
- Study objective In order to reduce the risk of vaginal recurrence, we have chosen total laparoscopic modified radical hysterectomy instead of extrafascial hysterectomy in the treatment of endometrial cancer. The aim of this study was to assess the safety of this method. Design Retrospective study of gynecological patients. Setting Yokohama City University Medical Center, Yokohama, Japan. Patients Forty-nine patients who underwent total laparoscopic modified radical hysterectomy for the treatment of endometrial cancer at our hospital between December 2011 and September 2015. Interventions Total laparoscopic modified radical hysterectomy + bilateral salpingo-oophorectomy (n = 20), total laparoscopic modified radical hysterectomy + bilateral salpingo-oophorectomy + pelvic lymphadenectomy (n = 18), or total laparoscopic modified radical hysterectomy + bilateral salpingo-oophorectomy + pelvic and para-aortic lymphadenectomy (n = 11). Measurements and Main Results The surgical outcomes were analyzed and compared to previous reports. The median operative time was 204 minutes (range, 99–504 minutes) and the median intraoperative blood loss was 150 mL (range, 0–680 mL). No patients needed a blood transfusion, conversion to laparotomy, or reoperation. Intra- and postoperative complications were observed in three patients and nine patients, respectively. The amount of blood loss and the incidence of complications in our study were almost identical to previous reports of laparoscopic hysterectomy. The operative time in our study was equivalent to previous reports of total laparoscopic modified radical hysterectomy. Conclusion Total laparoscopic modified radical hysterectomy is safe and feasible for the treatment of early stage endometrial cancer. This procedure can be an alternative to total laparoscopic hysterectomy, especially when the uterus must be removed completely.
- Subjects :
- medicine.medical_specialty
Blood transfusion
medicine.medical_treatment
lcsh:Gynecology and obstetrics
03 medical and health sciences
0302 clinical medicine
Laparotomy
medicine
Stage (cooking)
lcsh:RG1-991
030219 obstetrics & reproductive medicine
Hysterectomy
business.industry
Incidence (epidemiology)
General surgery
Endometrial cancer
Obstetrics and Gynecology
Retrospective cohort study
medicine.disease
surgical complications
Surgery
030220 oncology & carcinogenesis
extrafascial hysterectomy
endometrial cancer
Lymphadenectomy
business
total laparoscopic modified radical hysterectomy
Subjects
Details
- Language :
- English
- ISSN :
- 22133070
- Volume :
- 6
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Gynecology and Minimally Invasive Therapy
- Accession number :
- edsair.doi.dedup.....8a0246881af190918505d24a135917f8