First 100 early endometrial cancer cases treated with laparoendoscopic single-site surgery

A multicentric retrospective study

Anna Fagotti, David M. Boruta, Giovanni Scambia, Francesco Fanfani, Amelia Paglia, Pedro F. Escobar

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

OBJECTIVE: We sought to assess feasibility and perioperative outcomes for laparoendoscopic single-site surgery (LESS) in early endometrial cancer. STUDY DESIGN: This was a retrospective multicentric study of 100 early endometrial cancer cases undergoing LESS from July 2009 through July 2011. RESULTS: All patients underwent total hysterectomy and bilateral salpingo-oophorectomy by LESS. Pelvic and paraaortic lymphadenectomy were performed in 48 and 27 patients, respectively. A median of 16 pelvic lymph nodes (range, 1-33) and 7 paraaortic lymph nodes (range, 2-28) were retrieved. Both median operative time (129 minutes; range, 45-321) and estimated blood loss (70 mL; range, 10-500) were greater when staging lymphadenectomy was performed (P values = .001). Four intraoperative and 4 postoperative complications were observed. Conversion to standard laparoscopy and laparotomy was necessary for completion of 1 case each. Patients responded positively regarding cosmetic result and minimal postoperative pain control. CONCLUSION: LESS further minimizes the invasive nature of surgery and is feasible for treatment of early-stage endometrial cancer.

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Volume206
Issue number4
DOIs
Publication statusPublished - Apr 2012

Fingerprint

Endometrial Neoplasms
Retrospective Studies
Lymph Node Excision
Lymph Nodes
Ovariectomy
Operative Time
Postoperative Pain
Hysterectomy
Cosmetics
Laparoscopy
Laparotomy
Therapeutics

Keywords

  • endometrial cancer
  • laparoendoscopic single-site surgery
  • laparoscopy
  • minimally invasive surgery
  • single port access

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

First 100 early endometrial cancer cases treated with laparoendoscopic single-site surgery : A multicentric retrospective study. / Fagotti, Anna; Boruta, David M.; Scambia, Giovanni; Fanfani, Francesco; Paglia, Amelia; Escobar, Pedro F.

In: American Journal of Obstetrics and Gynecology, Vol. 206, No. 4, 04.2012.

Research output: Contribution to journalArticle

Fagotti, Anna ; Boruta, David M. ; Scambia, Giovanni ; Fanfani, Francesco ; Paglia, Amelia ; Escobar, Pedro F. / First 100 early endometrial cancer cases treated with laparoendoscopic single-site surgery : A multicentric retrospective study. In: American Journal of Obstetrics and Gynecology. 2012 ; Vol. 206, No. 4.
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