Advantages of Laparoscopy Versus Laparotomy in Extremely Obese Women (BMI>35) with Early-stage Endometrial Cancer: A Multicenter Study

被引：1
|
作者：
Tinelli, Raffaele [1 ]
Litta, Pietro [2 ]
Meir, Yoram [1 ]
Surico, Daniela [3 ]
Leo, Livio [3 ]
Fusco, Annarita [4 ]
Angioni, Stefano [5 ]
Cicinelli, Ettore [4 ]
机构：
[1] San Bassiano Hosp, Dept Obstet & Gynecol, Vicenza, Italy
[2] Univ Med Sch Padova, Dept Obstet & Gynecol, Padua, Italy
[3] Univ Med Sch Novara, Dept Obstet & Gynecol, Novara, Italy
[4] Univ Med Sch Bari, Dept Obstet & Gynecol, Bari, Italy
[5] Univ Med Sch Cagliari, Dept Obstet & Gynecol 3, Cagliari, Italy
来源：
ANTICANCER RESEARCH | 2014年 / 34卷 / 05期
关键词：
Endometrial cancer; hysterectomy; laparoscopy; lymphadenectomy; obese women; RADICAL HYSTERECTOMY; LYMPHADENECTOMY; EXPERIENCE; MANAGEMENT; CARCINOMA;
D O I：
暂无
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Background: The aim of the present study was to demonstrate the advantages. of laparoscopy versus laparotomy for treatment of extremely obese women with early-stage endometrial cancer. Materials and Methods: Seventy-five extremely obese patients with Body Mass Index >35 kg/m(2) and clinical stage I endometrial cancer underwent hysterectomy and bilateral salpingooophorectomy, and in all cases we performed systematic pelvic lymphadenectomy by laparoscopy (mean BMI of 38+/-7.3 kg/m(2)) or laparotomy (mean BMI of 39+/-8.1 kg/m(2)). Results: In two (4.4%) patients of the laparoscopy group we observed a port site haematoma that was resolved without a second surgery. In three patients of the laparotomy-group, we observed dehiscence of the abdominal suture with surgical site infection that was re-sutured. Conclusion: Laparoscopy can be considered a safe and effective therapeutic procedure for managing early-stage endometrial cancer in extremely obese women with a lower complication rate, lower surgical site infection and postoperative hospitalization.
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收藏
页码：2497 / 2502
页数：6
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