Abstract
To see whether laparoscopy provides exact staging and effective treatment of endometrial cancer patients, compared with total abdominal hysterectomy, with shorter hospital stay, prompter recovery, and better quality of life. This retrospective study identified 110 patients scheduled for surgery for early-stage endometrial cancer. Fifty-five (50%) were treated by laparoscopic-assisted vaginal hysterectomy (LAVH) and 55 (50%) by total abdominal hysterectomy (TAH). All patients underwent pelvic lymphadenectomy. The majority of patients (79%) had stage I disease. The mean number of lymph nodes removed was 17 for the LAVH group and 18.5 for the TAH group (p = 0.294). Compared with TAH, LAVH required a significantly longer operating time (220 vs. 175 min; p < 0.01); but shorter hospital stay (4 vs. 8.5 days; p < 0.001) and less estimated blood loss (177 cm3 vs. 285 cm3; p = 0.02). Overall, there were fewer post-operative complications in the LAVH group (6 vs. 11 cases; p < 0.001). Three TAH patients (5.4%) had recurrence of disease. No LAVH patients had recurrences and all are currently disease-free. These findings suggest LAVH gives correct staging of endometrial disease, like TAH, but with fewer complications and a slightly longer ...Continue Reading
References
Apr 1, 1992·Gynecologic Oncology·J M Childers, E A Surwit
Jan 1, 1991·Gynecologic Oncology·C P MorrowJ E Graham
Jan 1, 1991·Gynecologic Oncology·J D BlossR E Buller
Oct 15, 1987·Cancer·W T CreasmanP B Heller
Oct 1, 1993·Gynecologic Oncology·J M ChildersE A Surwit
Jan 1, 1994·CA: a Cancer Journal for Clinicians·C C BoringS Montgomery
Jun 1, 1996·American Journal of Obstetrics and Gynecology·N M SpirtosS C Ballon
Dec 31, 1997·British Journal of Obstetrics and Gynaecology·N Kadar
Oct 6, 1998·Archives of Internal Medicine
Oct 15, 1998·The American Journal of Clinical Nutrition
Mar 30, 1999·Gynecologic Oncology·M L GemignaniR R Barakat
Feb 13, 2001·Gynecologic Oncology·S MalurA Schneider
Feb 17, 2001·Cancer·G H EltabbakhL L Garafano
Mar 30, 2001·Gynecologic Oncology·L FrigerioA Ferrari
Dec 31, 2002·Gynecologic Oncology·Christina S ChuStephen C Rubin
Aug 2, 2003·Gynecologic Oncology·Zdenek Holub
Feb 27, 2004·Gynecologic Oncology·Cathrine M HollandRobin A F Crawford
Sep 8, 2004·Gynecologic Oncology·Achim Schneider
Jan 25, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·C K H YuA Olaitan
Jun 25, 2005·Current Opinion in Obstetrics & Gynecology·Javier F Magrina
Citations
Sep 4, 2009·Surgical Endoscopy·Alessandro SantiMichael D Mueller
Jun 23, 2011·Annals of Surgical Oncology·Fabio GhezziPierfrancesco Bolis
Jan 1, 2007·Women's Health·Selvan PatherJonathan Carter
Oct 12, 2010·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·T R Everett, R A F Crawford
Feb 9, 2010·Gynecologic Oncology·Scott M Eisenkop
Sep 22, 2009·Gynecologic Oncology·Robert W HollowayNeil J Finkler
May 9, 2009·Advanced Drug Delivery Reviews·Jessica HunnAndrew P Soisson
Oct 3, 2008·Gynecologic Oncology·Maria C BellSharon Hunt
Oct 7, 2008·Gynecologic Oncology·Sara A DeNardisNeil J Finkler
Jul 20, 2012·Veterinary Surgery : VS·Jalal BakhtiariAmir Niasari-Naslaji
Apr 1, 2009·Seminars in Oncology·Karen H Lu
Aug 21, 2010·American Journal of Obstetrics and Gynecology·Valerio GallottaAnna Fagotti
Oct 22, 2008·American Journal of Obstetrics and Gynecology·John F BoggessWesley C Fowler
Jul 11, 2012·Journal of the Egyptian National Cancer Institute·Hussein Osama SolimanWaheed Yosry Gareer
Apr 30, 2016·Taiwanese Journal of Obstetrics & Gynecology·Ling-Hui ChuBor-Ching Sheu
Sep 27, 2014·PloS One·Longke RanFangzhou Song
Jan 31, 2014·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Takaya ShiozakiTomoaki Ikeda
Aug 25, 2010·Obstetrics and Gynecology·Jason C BarnettLaura J Havrilesky
Nov 26, 2010·Obstetrics and Gynecology·James Fanning, Carrie Hossler
Aug 6, 2010·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Omer DevajaAndreas J Papadopoulos
Jun 22, 2010·Journal of Neurosurgery·Paula EboliMarc Mayberg
Dec 17, 2008·Cancer Control : Journal of the Moffitt Cancer Center·Marcia M Humphrey, Sachin M Apte
Jun 1, 2011·Journal of Robotic Surgery·Meenu GoelDavid H Moore
Dec 17, 2008·Cancer Control : Journal of the Moffitt Cancer Center·Peter J Frederick, J Michael Straughn
Jun 4, 2008·Menopause International·Su-Yen Khong, Simon Jackson