Comparison of laparoscopic versus conventional open surgical staging procedure for endometrial cancer

Kong, Tae-Wook; Lee, Kyung Mi; Cheong, Ji Yoon; Kim, Woo Young; Chang, Suk-Joon; Yoo, Sang-Yong; Yoon, Jong-Hyuck; Chang, Ki‐Hong; Ryu, Hee Sug

doi:10.3802/jgo.2010.21.2.106

Cited by 27 publications

(25 citation statements)

References 35 publications

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“…Alternatively, only 2 (11.1%) of the genitourinary complications were associated with minimally invasive surgery. This is consistent with previous studies that reported higher complication rates following an open procedure compared with laparoscopic surgery [18,19,21,22]. …”

Section: Discussionsupporting

confidence: 83%

The Incidence of Genitourinary and Gastrointestinal Complications in Open and Endoscopic Gynecologic Cancer Surgery

Rettenmaier

Abaid

et al. 2014

Oncology

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Objectives: The purpose of this study was to examine the incidence of genitourinary and intestinal tract injuries in an effort to identify which factors might predispose a patient to developing one of these surgical complications. Methods: We retrospectively evaluated the charts of gynecologic cancer patients who were treated at a single medical institution from January 2002 to February 2011. The following study variables were noted for evaluation: age, BMI, cancer origin, disease recurrence, a history of pelvic surgery, surgery type, operative approach and injury classification (genitourinary or gastrointestinal). Results: In our group of 1,618 patients, a total of 47 (2.9%) gastrointestinal and 18 (1.1%) genitourinary tract injuries were encountered. There were no intraoperative-related deaths but 2 patients expired 1 month after surgery. Logistic regression indicated that surgery type, undergoing an open procedure, cancerous involvement of the bowel or genitourinary tract and a history of pelvic surgery were significant predictors of operative injury occurrence [χ² (28) = 167.22; p < 0.001]. Conclusions: We ascertained a relatively lowincidence of gastrointestinal and genitourinary complications. Nevertheless, undergoing an open procedure, a history of pelvic surgery and surgical involvement of the bowel or genitourinary tract were predictive of an increased risk for these aforementioned injuries.

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Section: Discussionsupporting

confidence: 83%

The Incidence of Genitourinary and Gastrointestinal Complications in Open and Endoscopic Gynecologic Cancer Surgery

Rettenmaier

Abaid

et al. 2014

Oncology

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“…Kong et al also compared the surgical outcomes of laparoscopic surgery and open surgery in patients with endometrial cancer [34]. Patients undergoing laparoscopy had on average 4 more lymph nodes removed and 11.7% of these patients were diagnosed with a lymphocyst while 10% of patients undergoing laparotomy were diagnosed with a lymphocyst.…”

Section: Long-term Risks Of Lymph Node Dissectionmentioning

confidence: 99%

The Role of Lymphadenectomy in Surgical Staging of Endometrial Cancer

Neubauer

Lurain

2011

International Journal of Surgical Oncology

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Surgical staging, including lymph node sampling, for endometrial cancer was adopted by the International Federation of Gynecology and Obstetrics (FIGO) in 1988 based on reports demonstrating diagnostic and therapeutic advantages. This review focuses on the incidence of lymph node metastasis, risk factors for lymph node involvement, the effect of lymph node metastasis on prognosis, the therapeutic effect and diagnostic usefulness of lymphadenectomy, risks of lymph node dissection, and future directions in surgical staging of endometrial cancer. Surgical staging identifies most patients with extrauterine disease as well as uterine risk factors for recurrence, thereby allowing for a more informed approach to postoperative adjuvant therapy. Lymphadenectomy as a part of surgical staging is not required in patients assessed intraoperatively to be at low risk for lymph node metastasis (<2 cm grade 1 tumors with superficial myometrial invasion), however, a systematic lymph node dissection should be performed in most other patients with endometrial cancer. In the future, molecular markers may be useful to predict preoperatively tumor aggressiveness and lymph node metastasis. It is hoped that an approach of surgical staging with selective lymph node dissection will improve survival and spare patients additional surgical complications or unnecessary postoperative exposure to radiation and/or chemotherapy.

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“…Endometrial cancer is the most common gynecological malignancy and the fourth most frequent site of malignant neoplasm in females [3]. Endometrial cancer comprises only 1.9% of all types of cancer in increasing trend along with the average lifespan [4].…”

Section: Introductionmentioning

confidence: 99%

Correlation of Endometrial Thickness and Histopathology in Women with Abnormal Uterine Bleeding

Sur¹,

Chakravorty²

2016

Reprod Syst Sex Disord

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Aim: The study was aimed to reveal endometrial thickness measured by transvaginal sonography (TVS) and various clinical factors with histopathology in women with abnormal uterine bleeding and to evaluate the accuracy of transvaginal sonography in detecting intrauterine abnormalities as compared to hysteroscopy. Methods: In this prospective study transvaginal sonography was performed in 163 women with abnormal uterine bleeding, followed within 48 hours by hysteroscopy and endometrial biopsy. Statistical analysis was performed by chi-square test and the various correlations were calculated. Results: No statistically significant association was found between endometrial thickness and cycle day with histopathology. One of the women with endometrial thickness of <5 mm had malignancy. There was a highly significant association between menstrual status and histology. Transvaginal sonography and hysteroscopy were in agreement in 79.14% of the patients. Conclusions: Based on our results, echomorphological measures can provide critical information for a conclusive diagnosis. We recommend using a combination of metric and morphological parameters when performing a sonographic assessment of the endometrium in postmenopausal women. Endometrial biopsy should be performed to exclude endometrial hyperplasia and carcinoma in postmenopausal women with endometrial bleeding to perform proper and prompt treatment, especially in old aged women.

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Comparison of laparoscopic versus conventional open surgical staging procedure for endometrial cancer

Cited by 27 publications

References 35 publications

The Incidence of Genitourinary and Gastrointestinal Complications in Open and Endoscopic Gynecologic Cancer Surgery

The Incidence of Genitourinary and Gastrointestinal Complications in Open and Endoscopic Gynecologic Cancer Surgery

The Role of Lymphadenectomy in Surgical Staging of Endometrial Cancer

Correlation of Endometrial Thickness and Histopathology in Women with Abnormal Uterine Bleeding

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