STUDY OBJECTIVE: To compare total laparoscopic hysterectomy (TLH) with open hysterectomy in the management of endometrial carcinoma. DESIGN: Retrospective chart review (Canadian Task Force classification II-3). SETTING: Gynecologic cancer center. PATIENTS: All women with endometrial carcinoma managed between January 1, 1993, and June 30, 1999. INTERVENTIONS: Of 403 patients reviewed, in 161 (40%) the surgical intention was laparoscopic management, in 230 (57%) the intention was open management, and in 12 (3%) it was vaginal hysterectomy. Total laparoscopic hysterectomy was successfully completed in 153 (95%) of the laparoscopic group. MEASUREMENTS AND MAIN RESULTS: Mean weight of women in the laparoscopic group (80.1 kg) was greater than that in the open group (73.3 kg, p = 0.002), and included 27 patients weighing over 100 kg (maximum individual weight 170 kg). Mean operating times were 138 minutes for laparoscopy and 121 minutes for the open procedure (p = 0.002). Complications differed, with significantly more occurring in the open group (43%, 100) than in the laparoscopic group (17%, 27, p <0.00001). Mean postoperative hospital stay was significantly shorter for the laparoscopic group (4.3 days) than for the open group (8.5 days, p = 0.0001). Conclusion. TLH combined with laparoscopic surgical staging has many advantages over the open approach, especially in obese women.
STUDY OBJECTIVE: To compare total laparoscopic hysterectomy (TLH) with open hysterectomy in the management of endometrial carcinoma. DESIGN: Retrospective chart review (Canadian Task Force classification II-3). SETTING: Gynecologic cancer center. PATIENTS: All women with endometrial carcinoma managed between January 1, 1993, and June 30, 1999. INTERVENTIONS: Of 403 patients reviewed, in 161 (40%) the surgical intention was laparoscopic management, in 230 (57%) the intention was open management, and in 12 (3%) it was vaginal hysterectomy. Total laparoscopic hysterectomy was successfully completed in 153 (95%) of the laparoscopic group. MEASUREMENTS AND MAIN RESULTS: Mean weight of women in the laparoscopic group (80.1 kg) was greater than that in the open group (73.3 kg, p = 0.002), and included 27 patients weighing over 100 kg (maximum individual weight 170 kg). Mean operating times were 138 minutes for laparoscopy and 121 minutes for the open procedure (p = 0.002). Complications differed, with significantly more occurring in the open group (43%, 100) than in the laparoscopic group (17%, 27, p <0.00001). Mean postoperative hospital stay was significantly shorter for the laparoscopic group (4.3 days) than for the open group (8.5 days, p = 0.0001). Conclusion. TLH combined with laparoscopic surgical staging has many advantages over the open approach, especially in obesewomen.
Authors: C William Helm; Cibi Arumugam; Mary E Gordinier; Daniel S Metzinger; Jianmin Pan; Shesh N Rai Journal: J Gynecol Oncol Date: 2011-09-28 Impact factor: 4.401
Authors: Claudia B M Bijen; Justine M Briët; Geertruida H de Bock; Henriëtte J G Arts; Johanna A Bergsma-Kadijk; Marian J E Mourits Journal: BMC Cancer Date: 2009-01-15 Impact factor: 4.430
Authors: Jakub Sokołowski; Joanna Skręt-Magierło; Tomasz Kluz; Edyta Barnaś; Marek Sobolewski; Renata Raś; Andrzej Skręt Journal: Prz Menopauzalny Date: 2015-12-22