Laparoscopic-assisted vaginal hysterectomy versus total laparoscopic hysterectomy for the management of endometrial cancer: a randomized clinical trial

Journal of Minimally Invasive Gynecology
Fabio GhezziPierfrancesco Bolis

Abstract

To compare laparoscopic-assisted vaginal hysterectomy (LAVH) and total laparoscopic hysterectomy (TLH) for the treatment of endometrial cancer. Randomized, controlled trial. Randomized controlled trial (Canadian Task Force classification I). Two gynecologic oncologic units of university hospitals. Seventy-two women with endometrial cancer randomized to undergo either LAVH or TLH. Total laparoscopic hysterectomy or laparoscopic-assisted vaginal hysterectomy, bilateral salpingo-oophorectomy, peritoneal washing, and systematic pelvic lymphadenectomy. Parameters of technical feasibility (operating time of hysterectomy phase, estimated blood loss, perioperative complications) were considered as major statistical endpoints. Thirty-seven women were allocated to the LAVH arm, and 35 were allocated to the TLH arm. Mean total operating time was significantly shorter in the TLH than in the LAVH group (184.0 +/- 46.0 vs 213.2 +/- 39.4 minutes, p = .003). The hysterectomy phase was longer in the LAVH than in the TLH group only in overweight (77.9 +/- 9.8 vs 68.1 +/- 9.3 min, p = .005) and obese patients (87.7+/- 13.1 vs. 62.1+/- 9.9 min, p < .0001). The median estimated blood loss during hysterectomy was similar between groups. Intraoperati...Continue Reading

References

Jun 19, 1998·The Journal of Obstetrics and Gynaecology Research·J SongM A Lee
Sep 14, 2000·Gynecologic Oncology·G H EltabbakhL L Garafano
Jun 27, 2001·Human Reproduction·J MäkinenJ Sjöberg
Feb 28, 2002·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·K M Fram
Jul 9, 2002·The Journal of the American Association of Gynecologic Laparoscopists·A WattiezM A Bruhat
Dec 31, 2002·Gynecologic Oncology·Christina S ChuStephen C Rubin
Jan 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·John Thiel, Adrian Gamelin
Feb 27, 2004·Gynecologic Oncology·Andreas ObermairAnthony J McCartney
Sep 24, 2004·Gynecologic Oncology·Katherine A O'HanlanAnne-Caroline Garnier
Jan 25, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·C K H YuA Olaitan
Apr 13, 2005·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·A ObermairA J McCartney
May 21, 2005·Journal of Minimally Invasive Gynecology·Roberto TozziAchim Schneider

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Citations

Mar 24, 2010·Archives of Gynecology and Obstetrics·Florian MuellerU Ulrich
Dec 12, 2012·Archives of Gynecology and Obstetrics·Stefano UccellaPierfrancesco Bolis
Jul 16, 2008·Surgical Endoscopy·Fabio GhezziPierfrancesco Bolis
Apr 4, 2009·Surgical Endoscopy·Santiago HorganPedro Ferraina
Nov 5, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jeff F LinJian Qun Huang
May 18, 2010·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Ann K FolkinsMichelle S Hirsch
Jul 13, 2007·Current Opinion in Obstetrics & Gynecology·Harry Reich
Jul 29, 2008·Current Opinion in Obstetrics & Gynecology·Renato SeracchioliStefano Venturoli
Jul 25, 2009·Menopause : the Journal of the North American Menopause Society·Fabio GhezziPierfrancesco Bolis
Dec 25, 2009·Menopause : the Journal of the North American Menopause Society·Gabriele SiestoPierfrancesco Bolis
Oct 15, 2009·Annals of Surgical Oncology·Fabio GhezziMassimo Franchi
Oct 21, 2010·Annals of Surgical Oncology·Fabio GhezziPaolo Vanoli
Jun 23, 2011·Annals of Surgical Oncology·Fabio GhezziPierfrancesco Bolis
Jan 16, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Hye-Yon ChoSung-Ho Park
Aug 9, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Francesco FanfaniGiovanni Scambia
Jan 25, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Andrea CiavattiniPietro Litta
Jan 1, 2007·Women's Health·Selvan PatherJonathan Carter
Jul 23, 2013·Journal of Minimally Invasive Gynecology·Stefano UccellaFabio Ghezzi
May 15, 2013·Journal of Minimally Invasive Gynecology·Nima KhavaninJohn Y S Kim
Apr 30, 2013·Journal of Minimally Invasive Gynecology·Antonio PellegrinoMaria Grazia Pezzotta
Jan 5, 2011·Journal of Minimally Invasive Gynecology·Katherine A O'HanlanJohn G McCutcheon
Aug 7, 2010·Gynecologic Oncology·Fabio GhezziMassimo Franchi
Jul 14, 2010·Journal of Minimally Invasive Gynecology·Marco CamanniFrancesco Deltetto
Apr 3, 2008·The Surgical Clinics of North America·Christopher P Desimone, Frederick R Ueland
Feb 11, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Ayman Al-talibTogas Tulandi
Apr 1, 2009·Seminars in Oncology·Karen H Lu
Jul 11, 2006·Journal of Minimally Invasive Gynecology·Fabio GhezziPierfrancesco Bolis
Feb 6, 2007·Gynecologic Oncology·Fabio GhezziPierfrancesco Bolis
Jun 5, 2010·American Journal of Obstetrics and Gynecology·Fabio GhezziPierfrancesco Bolis
May 31, 2011·American Journal of Obstetrics and Gynecology·Stefano UccellaPierfrancesco Bolis
Mar 4, 2014·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson
Jan 21, 2014·The Cochrane Database of Systematic Reviews·Myura NagendranKurinchi Selvan Gurusamy
Aug 28, 2013·The Cochrane Database of Systematic Reviews·Myura NagendranBrian R Davidson
Sep 14, 2012·The Cochrane Database of Systematic Reviews·Khadra GalaalAlberto D Lopes
Nov 1, 2018·The Cochrane Database of Systematic Reviews·Khadra GalaalAlberto D Lopes

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