Conversion in endometrial cancer patients scheduled for laparoscopic staging: a large multicenter analysis: Conversions and endometrial cancer

Stefano Palomba, Fabio Ghezzi, Angela Falbo, Vincenzo Dario Mandato, Gianluca Annunziata, Emilio Lucia, Antonella Cromi, Letizia Zannoni, Renato Seracchioli, Giorgio Giorda, Giovanni Battista La Sala, Fulvio Zullo, Massimo Franchi

Research output: Contribution to journalArticle

Abstract

Background: Data on patients with endometrial cancer converted to laparotomy are totally lacking. The aim of the present study was to evaluate surgical and oncological outcomes in patients with endometrial cancer scheduled for laparoscopic staging but converted to laparotomy.

Methods: Data of consecutive patients who had undergone surgery for staging endometrial cancer in seven Italian centers were reviewed. Patients’ characteristics and surgical and oncological data were noted and analyzed according to surgery, i.e. laparotomy, laparoscopy, and laparoscopy converted to laparotomy.

Results: Seventy-one out of 512 (13.9 %) patients scheduled to laparoscopy were converted to laparotomy for reasons related to anesthesiology [38/71 (53.5 %)] or surgery [33/71 (46.5 %)]. The conversion rate varied among stages [41/460 (8.9 %), 13/27 (48.1 %), 17/25 (68.0 %) in patients with stage I, II, and endometrial cancers, respectively]. Significant (P 

Conclusions: The surgical and oncological outcomes of converted patients are no different from those of patients staged successfully with laparoscopy or with laparotomy. The conversion to laparotomy should be not considered per se a complication.

Original languageEnglish
Pages (from-to)3200-3209
Number of pages10
JournalSurgical Endoscopy and Other Interventional Techniques
Volume28
Issue number11
DOIs
Publication statusPublished - Oct 21 2014

Keywords

  • Conversion
  • Endometrial cancer
  • Laparoscopy
  • Laparotomy
  • Surgery
  • Uterine cancer

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

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