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 language | English |
|---|---|
| Journal | American Journal of Obstetrics and Gynecology |
| Volume | 206 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 2012 |
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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 journal › Article
}
TY - JOUR
T1 - First 100 early endometrial cancer cases treated with laparoendoscopic single-site surgery
T2 - A multicentric retrospective study
AU - Fagotti, Anna
AU - Boruta, David M.
AU - Scambia, Giovanni
AU - Fanfani, Francesco
AU - Paglia, Amelia
AU - Escobar, Pedro F.
PY - 2012/4
Y1 - 2012/4
N2 - 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.
AB - 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.
KW - endometrial cancer
KW - laparoendoscopic single-site surgery
KW - laparoscopy
KW - minimally invasive surgery
KW - single port access
UR - http://www.scopus.com/inward/record.url?scp=84859432424&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84859432424&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2012.01.031
DO - 10.1016/j.ajog.2012.01.031
M3 - Article
VL - 206
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 4
ER -