Laparoscopic-assisted vaginal hysterectomy versus abdominal hysterectomy in stages I and II endometrial cancer. Operating data, follow up and survival

Zapico, A.; Fuentes, Pedro Antonio Sánchez; Grassa, A.; Arnanz, F.; Otazua, J.; Cortés-Prieto, J

doi:10.1016/j.ygyno.2005.04.038

Cited by 53 publications

(8 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Skills developed while learning LARVH will be readily applicable to radical trachelectomy and indeed may even be used for the management of stage two endometrial carcinoma. Published series imply that LARVH may be a valid alternative in endometrial carcinoma 19,20 especially in obese women with co‐morbidities. Tozzi et al 21 found morbidity following LARVH to be decreased compared with open in women with BMI greater than 30, diabetics, hypertensives and those with cardiorespiratory failure.…”

Section: Discussionmentioning

confidence: 99%

Is laparoscopically assisted radical vaginal hysterectomy for cervical carcinoma safe? A case control study with follow up

Morgan¹,

Hunter²,

McCracken

et al. 2007

BJOG

View full text Add to dashboard Cite

Objective To compare a new surgical approach, laparoscopically assisted radical vaginal hysterectomy (LARVH) with open radical hysterectomy in women with cervical cancer. Can selected women benefit from the minimally invasive approach without compromising safety (recurrence rate) and morbidity (complications)?Design Retrospective case control study.Setting A tertiary referral unit for gynaecological malignancies.Population Thirty women undergoing LARVH were included and compared with 30 women undergoing open radical surgery. The control group was matched for age, body mass index and disease stage.Methods Retrospective collection of data from patient files and follow up.Main outcome measures Recurrence rate, complication rate, hospital stay, nodal counts, blood loss, operating time.Results Recurrence rates were equal (6.7%). There was one death, in the LARVH group. Conclusions The first 30 LARVH procedures performed in this unit are comparable in terms of safety (recurrence rate and complication rate) and economic factors (shorter hospital stay mitigating longer operating time). Further development of this technique is warranted.

show abstract

Section: Discussionmentioning

confidence: 99%

Is laparoscopically assisted radical vaginal hysterectomy for cervical carcinoma safe? A case control study with follow up

Morgan¹,

Hunter²,

McCracken

et al. 2007

BJOG

View full text Add to dashboard Cite

show abstract

“…Another study has shown that both laparoscopic and laparotomy groups were similar with regard to their characteristics such as age, BMI, and surgical FIGO staging. [9] Obese patients or patients whom are at risk of deep vein thrombosis or pulmonary embolism will benefit from this approach as the incisions were small and less painful and most patients will ambulate early. However, there are some conditions that may warrant extra caution before deciding for laparoscopic surgery such as patients with underlying chronic lung conditions with restricted lung function or morbidly obese with obstructive sleep apnea.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative complications were more frequent in laparotomy group mainly related to abdominal wall incision events. [9] Laparotomy group of the patient is at risk of higher morbidity related to larger wounds, i.e., blood loss and infections. Larger incision wound needs more time to heal and it is more painful and more susceptible to infections.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus laparotomy: Staging surgery for endometrial cancer – Malaysia's early experience

Ghazali¹,

Jamil²,

Sharin³

2019

Gynecol Minim Invasive Ther

View full text Add to dashboard Cite

Objective:The objective of the study is to assess the efficacy of laparoscopy compared with laparotomy in extrafascial hysterectomy and lymphadenectomy for endometrial cancer.Design:This was a retrospective study of small cases over a 5-year period.Setting:This study was conducted in Putrajaya Hospital, a district hospital with consultant care level in obstetrics and gynecology.Sample:Forty women presented with confirmed cases of endometrial cancer based on histopathology result and underwent extrafascial hysterectomy with or without lymphadenectomy between January 2010 and December 2014.Materials and Methods:Patient outcomes were compared between 26 women who underwent laparoscopic total hysterectomy with or without lymphadenectomy and 14 women who underwent open laparotomy extrafascial hysterectomy with or without lymphadenectomy. Data were collected using electronic medical records.Main Outcome Measures:Postoperative outcomes, operative time, total intraoperative blood loss, number of lymph nodes harvested, and total days of postoperative stay were obtained.Results:There was a significant reduction in operative blood loss in the laparoscopic group with mean 262.50 ± 47.87 and laparotomy group with mean 381.82 ± 138.33, 95% confidence interval, P < 0.05. Postoperative hospital stay was also significantly reduced in the laparoscopic group, where the mean postoperative stay in laparoscopic group was 2.5 ± 2.0 days and laparotomy 5.0 ± 3.6 days. There was no significant difference in mean operative time (the mean operative time: 256 ± 76.40 for laparotomy and 288.75 ± 43.66 for the laparoscopic approach). More number of lymph nodes were harvested laparoscopically (29.75 ± 16.59) than laparotomy (23.0 ± 12.62); however, this was not significant.Conclusions:Laparoscopic surgery had significant lesser blood loss and it is comparable to laparotomy in the surgical management of endometrial cancer. Experienced surgeon will be able to perform hysterectomy and lymphadenectomy as equally good to laparotomy with adequate tumor excision and complete staging.

show abstract

“…The vaginal cavity has been used as a conduit for extraction of gall bladder, gastric tumors, rectal tumors, and nephrectomy during transabdominal laparoscopy . A transvaginal laparoscopic approach has been used for hysterectomy in people . We are unaware of reports of OVH using a transvaginal laparoscopic approach in dogs.…”

mentioning

confidence: 99%

Comparative Evaluation of Conventional and Transvaginal Laparoscopic Ovariohysterectomy in Dogs

et al. 2012

View full text Add to dashboard Cite

show abstract

Laparoscopic-assisted vaginal hysterectomy versus abdominal hysterectomy in stages I and II endometrial cancer. Operating data, follow up and survival

Cited by 53 publications

References 23 publications

Is laparoscopically assisted radical vaginal hysterectomy for cervical carcinoma safe? A case control study with follow up

Is laparoscopically assisted radical vaginal hysterectomy for cervical carcinoma safe? A case control study with follow up

Laparoscopic versus laparotomy: Staging surgery for endometrial cancer – Malaysia's early experience

Comparative Evaluation of Conventional and Transvaginal Laparoscopic Ovariohysterectomy in Dogs

Contact Info

Product

Resources

About