Total laparoscopic hysterectomy for oncological indications with outcomes stratified by age

Gynecologic Oncology
Katherine A O'HanlanAnne-Caroline Garnier

Abstract

We hypothesize that there is no difference in surgical outcomes of patients undergoing total laparoscopic hysterectomy (TLH) for various oncological indications when stratified by age categories. Data were analyzed by ANOVA and chi-square test with significance of P < 0.05, stratified by age (young: <50 years, middle: 50-64, senior age 65+). There were 208 patients, age 26-86 years: 85 young, 82 middle, and 41 senior women. Preoperative diagnoses included 13 cases of cervical dysplasia, 10 cervical or upper vaginal carcinoma, 60 endometrial neoplasias, 22 prophylaxes of familial ovarian carcinoma, 95 with complex pelvic mass, and 8 with early ovarian carcinoma. Mean body mass index (BMI) was 27.2 kg/m(2) for all groups. Parity increased with age (1.0, 1.3, and 2.0; P = 0.001). Surgical duration was longer for young than middle or senior (168, 147, and 140 min, P = 0.0095). All groups had a similar mean blood loss (133 cc, ns) and similar mean length of hospital stay (1.8 days, ns). Overall complication rate was 7.7% with no variance by age: one seroma, one hematoma, one diverticulitis, one incisional hernia, one vaginal nonhealing, one adhesive bowel obstruction, and five urologic complications (two bladder, three ureteral; fou...Continue Reading

References

Sep 1, 1992·American Journal of Obstetrics and Gynecology·F NezhatB Benigno
Sep 1, 1993·Archivos españoles de urología·C Rioja SanzL A Rioja Sanz
Feb 1, 1996·Obstetrics and Gynecology·F ZivkovicM Auer-Grumbach
Dec 1, 1995·British Journal of Anaesthesia·T E Shaughnessy, D Raskin
Dec 1, 1995·Journal of Laparoendoscopic Surgery·M J Martel, G B Gilliland
Oct 1, 1996·Journal of the Formosan Medical Association = Taiwan Yi Zhi·F T KungS Y Chang
Jan 1, 1996·Gynecologic and Obstetric Investigation·R MaranaS Mancuso
Sep 1, 1996·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·R PoletM Shelton
Aug 1, 1997·The Journal of the American Association of Gynecologic Laparoscopists·C H LiuC C Yuan
Mar 26, 1998·Obstetrical & Gynecological Survey·A Ostrzenski, K M Ostrzenska
Nov 11, 1998·Journal of the American College of Cardiology·J L JorisM L Lamy
Feb 11, 1999·The Journal of the American Association of Gynecologic Laparoscopists·Y S Lee
Mar 6, 1999·The Journal of Obstetrics and Gynaecology Research·J SongP S Ku
Sep 16, 1999·American Journal of Obstetrics and Gynecology·E R Myers, J F Steege
Nov 5, 1999·Obstetrics and Gynecology·G H EltabbakhF O Recio
Jan 29, 2000·The Journal of the American Association of Gynecologic Laparoscopists·O CeciA Masciandaro
Feb 7, 2001·The Australian & New Zealand Journal of Obstetrics & Gynaecology·D C ChouC Johns
Apr 29, 2000·The Journal of the American Association of Gynecologic Laparoscopists·D L OliveR L Levine
Jun 1, 2000·Obstetrics and Gynecology·S R Kovac
Sep 27, 2000·International Urogynecology Journal and Pelvic Floor Dysfunction·J W Barrington, G Edwards
Oct 11, 2001·The Australian & New Zealand Journal of Obstetrics & Gynaecology·G M Cario, M A Carlton
Jul 9, 2002·The Journal of the American Association of Gynecologic Laparoscopists·A WattiezM A Bruhat
Dec 10, 2003·Obstetrics and Gynecology·Katherine A O'HanlanMirjam Leuchtenberger
Mar 30, 2004·Gynecologic Oncology·Katherine A O'HanlanAnne-Caroline Garnier

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Citations

Nov 23, 2013·Gynecologic Oncology·Marilyn HuangPamela T Soliman
May 9, 2006·Contemporary Clinical Trials·M JandaUNKNOWN LACE Trial Committee
Jul 29, 2008·Current Opinion in Obstetrics & Gynecology·Renato SeracchioliStefano Venturoli

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