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 (US) |
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Pages (from-to) | 353.e1-353.e6 |
Journal | American journal of obstetrics and gynecology |
Volume | 206 |
Issue number | 4 |
DOIs | |
State | Published - Apr 2012 |
Externally published | Yes |
Keywords
- endometrial cancer
- laparoendoscopic single-site surgery
- laparoscopy
- minimally invasive surgery
- single port access
ASJC Scopus subject areas
- Obstetrics and Gynecology