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Laparoscopic‐assisted vaginal hysterectomy versus abdominal hysterectomy in endometrial cancer
Author(s) -
Frigerio L.,
Gallo A.,
Ghezzi F.,
Trezzi G.,
Lussana M.,
Franchi M.
Publication year - 2006
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2006.02.011
Subject(s) - medicine , endometrial cancer , lymphadenectomy , surgery , laparoscopy , stage (stratigraphy) , hysterectomy , abdominal hysterectomy , retrospective cohort study , cancer , paleontology , biology
Objective : To see whether laparoscopy provides exact staging and effective treatment of endometrial cancer patients, compared with total abdominal hysterectomy, with shorter hospital stay, prompter recovery, and better quality of life. Method : This retrospective study identified 110 patients scheduled for surgery for early‐stage endometrial cancer. Fifty‐five (50%) were treated by laparoscopic‐assisted vaginal hysterectomy (LAVH) and 55 (50%) by total abdominal hysterectomy (TAH). All patients underwent pelvic lymphadenectomy. The majority of patients (79%) had stage I disease. Results : The mean number of lymph nodes removed was 17 for the LAVH group and 18.5 for the TAH group ( p = 0.294). Compared with TAH, LAVH required a significantly longer operating time (220 vs. 175 min; p < 0.01); but shorter hospital stay (4 vs. 8.5 days; p < 0.001) and less estimated blood loss (177 cm 3 vs. 285 cm 3 ; p = 0.02). Overall, there were fewer post‐operative complications in the LAVH group (6 vs. 11 cases; p < 0.001). Three TAH patients (5.4%) had recurrence of disease. No LAVH patients had recurrences and all are currently disease‐free. Conclusion : These findings suggest LAVH gives correct staging of endometrial disease, like TAH, but with fewer complications and a slightly longer operating time.