James Fanning1, Carrie Hossler. 1. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Pennsylvania State University, Milton S. Hershey Medical Center, Hershey, Pennsylvania 17033, USA. jfanning1@hmc.psu.edu
Abstract
OBJECTIVE: To estimate the conversion rate of attempted laparoscopic staging for primary endometrial adenocarcinoma. METHODS: Two hundred thirty-five consecutive patients with primary endometrial adenocarcinoma underwent attempted laparoscopic staging regardless of age, body mass index (BMI, calculated as weight (kg)/[height (m)]²), uterine size, and prior surgery. No patients were excluded. RESULTS: Mean BMI was 39 (range, 22-77), and 85 patients (36%) had a BMI higher than 40 kg/m². Mean blood loss was 162 mL (range, 25-1850 mL), mean operating room time was 2 hours (range, 1-4 hours 20 minutes), and mean hospital stay was 1 day (range, 1-4 days). There were six conversions (3%) to laparotomy or vaginal hysterectomy, all occurring in patients with a BMI higher than 40; mean BMI of conversions was 66 (range, 55-77). CONCLUSION: Of 235 consecutive cases of attempted laparoscopic staging for primary endometrial adenocarcinoma, conversion to laparotomy or vaginal hysterectomy occurred in 3% of the total patients and 7% in patients with a BMI of 40 or higher.
OBJECTIVE: To estimate the conversion rate of attempted laparoscopic staging for primary endometrial adenocarcinoma. METHODS: Two hundred thirty-five consecutive patients with primary endometrial adenocarcinoma underwent attempted laparoscopic staging regardless of age, body mass index (BMI, calculated as weight (kg)/[height (m)]²), uterine size, and prior surgery. No patients were excluded. RESULTS: Mean BMI was 39 (range, 22-77), and 85 patients (36%) had a BMI higher than 40 kg/m². Mean blood loss was 162 mL (range, 25-1850 mL), mean operating room time was 2 hours (range, 1-4 hours 20 minutes), and mean hospital stay was 1 day (range, 1-4 days). There were six conversions (3%) to laparotomy or vaginal hysterectomy, all occurring in patients with a BMI higher than 40; mean BMI of conversions was 66 (range, 55-77). CONCLUSION: Of 235 consecutive cases of attempted laparoscopic staging for primary endometrial adenocarcinoma, conversion to laparotomy or vaginal hysterectomy occurred in 3% of the total patients and 7% in patients with a BMI of 40 or higher.
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: Michael Mitri; James Fanning; Matthew Davies; Joshua Kesterson; Serdar Ural; Allen Kunselman; Gerald Harkins Journal: JSLS Date: 2014 Jul-Sep Impact factor: 2.172
Authors: Tim Wollinga; Nicole P M Ezendam; Florine A Eggink; Marieke Smink; Dennis van Hamont; Brenda Pijlman; Erik Boss; Elisabeth J Robbe; Huy Ngo; Dorry Boll; Constantijne H Mom; Maaike A van der Aa; Roy F L P Kruitwagen; Hans W Nijman; Johanna M A Pijnenborg Journal: Gynecol Surg Date: 2018-02-27