Laparoscopic surgery for early endometrial cancer

Gitte Bennich, M. Rudnicki, P. D. Lassen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

IntroductionThe purpose of the present study was to evaluate learning curves and short-term outcomes following laparoscopic surgery for early endometrial cancer in women of different body mass index (BMI) classes. Material and methodsData from 227 women planned for laparoscopic surgery for presumed stage I endometrial cancer were collected retrospectively from a Danish gynecologic oncology unit. Surgery included laparoscopic hysterectomy and bilateral salpingo-oophorectomy with or without pelvic lymphadenectomy (PLA). ResultsMedian length of operations was 60 min (range, 30-197) and 120 min (range, 60-230), depending on whether PLA was included. The median pelvic lymph node yield was 18 (range, 7-42). For staging with PLA there was a learning curve when measured as operative time as well as lymph node yield, and a level of proficiency was not reached after 40 operations. The women had a perioperative complication rate of 4.5% and a median hospital stay of one night. Postoperative complication rate was 12%, comprising vaginal cuff hematoma (3.1%), vaginal cuff rupture (0.9%), trocar hernia (1.3%), ureter lesion (0.4%), bowel lesion (0.4%), reoperation (0.9%) and other complications (4.5%). All peri- and postoperative outcomes were independent of BMI classes. ConclusionsOur data suggest that laparoscopic surgery for early endometrial cancer is feasible and safe. With increasing surgeon's experience there is a significant decrease in operative time and increase in the number of lymph nodes harvested. In experienced hands, either operative time, complications or length of stay are not affected by increasing BMI, even when women are morbidly obese.
OriginalsprogEngelsk
TidsskriftActa Obstetricia et Gynecologica Scandinavica
Vol/bind95
Udgave nummer8
Sider (fra-til)894-900
ISSN0001-6349
DOI
StatusUdgivet - 2016

Fingeraftryk

Endometrial Neoplasms
Body Mass Index
Lymph Nodes
Length of Stay
Ovariectomy
Ureter
Reoperation
Rupture

Citer dette

Bennich, Gitte ; Rudnicki, M. ; Lassen, P. D. / Laparoscopic surgery for early endometrial cancer. I: Acta Obstetricia et Gynecologica Scandinavica. 2016 ; Bind 95, Nr. 8. s. 894-900.
@article{cf167637b76842838de4c9eafbac2611,
title = "Laparoscopic surgery for early endometrial cancer",
abstract = "IntroductionThe purpose of the present study was to evaluate learning curves and short-term outcomes following laparoscopic surgery for early endometrial cancer in women of different body mass index (BMI) classes. Material and methodsData from 227 women planned for laparoscopic surgery for presumed stage I endometrial cancer were collected retrospectively from a Danish gynecologic oncology unit. Surgery included laparoscopic hysterectomy and bilateral salpingo-oophorectomy with or without pelvic lymphadenectomy (PLA). ResultsMedian length of operations was 60 min (range, 30-197) and 120 min (range, 60-230), depending on whether PLA was included. The median pelvic lymph node yield was 18 (range, 7-42). For staging with PLA there was a learning curve when measured as operative time as well as lymph node yield, and a level of proficiency was not reached after 40 operations. The women had a perioperative complication rate of 4.5{\%} and a median hospital stay of one night. Postoperative complication rate was 12{\%}, comprising vaginal cuff hematoma (3.1{\%}), vaginal cuff rupture (0.9{\%}), trocar hernia (1.3{\%}), ureter lesion (0.4{\%}), bowel lesion (0.4{\%}), reoperation (0.9{\%}) and other complications (4.5{\%}). All peri- and postoperative outcomes were independent of BMI classes. ConclusionsOur data suggest that laparoscopic surgery for early endometrial cancer is feasible and safe. With increasing surgeon's experience there is a significant decrease in operative time and increase in the number of lymph nodes harvested. In experienced hands, either operative time, complications or length of stay are not affected by increasing BMI, even when women are morbidly obese.",
keywords = "Laparoscopy cancer obesity hysterectomy oncologic gynecology lymph-node dissection obese women gynecologic-oncology robotic surgery laparotomy hysterectomy multicenter experience management survival Obstetrics & Gynecology",
author = "Gitte Bennich and M. Rudnicki and Lassen, {P. D.}",
note = "ISI Document Delivery No.: DS1MI Times Cited: 1 Cited Reference Count: 25 Bennich, Gitte Rudnicki, Martin Lassen, Pernille D. 1 Wiley-blackwell Hoboken 1600-0412",
year = "2016",
doi = "10.1111/aogs.12908",
language = "English",
volume = "95",
pages = "894--900",
journal = "Acta Obstetricia et Gynecologica Scandinavica",
issn = "0001-6349",
publisher = "JohnWiley & Sons Ltd.",
number = "8",

}

Laparoscopic surgery for early endometrial cancer. / Bennich, Gitte; Rudnicki, M.; Lassen, P. D.

I: Acta Obstetricia et Gynecologica Scandinavica, Bind 95, Nr. 8, 2016, s. 894-900.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Laparoscopic surgery for early endometrial cancer

AU - Bennich, Gitte

AU - Rudnicki, M.

AU - Lassen, P. D.

N1 - ISI Document Delivery No.: DS1MI Times Cited: 1 Cited Reference Count: 25 Bennich, Gitte Rudnicki, Martin Lassen, Pernille D. 1 Wiley-blackwell Hoboken 1600-0412

PY - 2016

Y1 - 2016

N2 - IntroductionThe purpose of the present study was to evaluate learning curves and short-term outcomes following laparoscopic surgery for early endometrial cancer in women of different body mass index (BMI) classes. Material and methodsData from 227 women planned for laparoscopic surgery for presumed stage I endometrial cancer were collected retrospectively from a Danish gynecologic oncology unit. Surgery included laparoscopic hysterectomy and bilateral salpingo-oophorectomy with or without pelvic lymphadenectomy (PLA). ResultsMedian length of operations was 60 min (range, 30-197) and 120 min (range, 60-230), depending on whether PLA was included. The median pelvic lymph node yield was 18 (range, 7-42). For staging with PLA there was a learning curve when measured as operative time as well as lymph node yield, and a level of proficiency was not reached after 40 operations. The women had a perioperative complication rate of 4.5% and a median hospital stay of one night. Postoperative complication rate was 12%, comprising vaginal cuff hematoma (3.1%), vaginal cuff rupture (0.9%), trocar hernia (1.3%), ureter lesion (0.4%), bowel lesion (0.4%), reoperation (0.9%) and other complications (4.5%). All peri- and postoperative outcomes were independent of BMI classes. ConclusionsOur data suggest that laparoscopic surgery for early endometrial cancer is feasible and safe. With increasing surgeon's experience there is a significant decrease in operative time and increase in the number of lymph nodes harvested. In experienced hands, either operative time, complications or length of stay are not affected by increasing BMI, even when women are morbidly obese.

AB - IntroductionThe purpose of the present study was to evaluate learning curves and short-term outcomes following laparoscopic surgery for early endometrial cancer in women of different body mass index (BMI) classes. Material and methodsData from 227 women planned for laparoscopic surgery for presumed stage I endometrial cancer were collected retrospectively from a Danish gynecologic oncology unit. Surgery included laparoscopic hysterectomy and bilateral salpingo-oophorectomy with or without pelvic lymphadenectomy (PLA). ResultsMedian length of operations was 60 min (range, 30-197) and 120 min (range, 60-230), depending on whether PLA was included. The median pelvic lymph node yield was 18 (range, 7-42). For staging with PLA there was a learning curve when measured as operative time as well as lymph node yield, and a level of proficiency was not reached after 40 operations. The women had a perioperative complication rate of 4.5% and a median hospital stay of one night. Postoperative complication rate was 12%, comprising vaginal cuff hematoma (3.1%), vaginal cuff rupture (0.9%), trocar hernia (1.3%), ureter lesion (0.4%), bowel lesion (0.4%), reoperation (0.9%) and other complications (4.5%). All peri- and postoperative outcomes were independent of BMI classes. ConclusionsOur data suggest that laparoscopic surgery for early endometrial cancer is feasible and safe. With increasing surgeon's experience there is a significant decrease in operative time and increase in the number of lymph nodes harvested. In experienced hands, either operative time, complications or length of stay are not affected by increasing BMI, even when women are morbidly obese.

KW - Laparoscopy cancer obesity hysterectomy oncologic gynecology lymph-node dissection obese women gynecologic-oncology robotic surgery laparotomy hysterectomy multicenter experience management survival Obstetrics & Gynecology

U2 - 10.1111/aogs.12908

DO - 10.1111/aogs.12908

M3 - Journal article

VL - 95

SP - 894

EP - 900

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

SN - 0001-6349

IS - 8

ER -