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Laparoscopic surgery for endometrial cancer: why don't all patients go home the day after surgery?

Laparoscopic surgery for endometrial cancer: why don't all patients go home the day after surgery?

Journal of Minimally Invasive Gynecology 19(1): 95-100

To identify risk factors for hospital length of stay (LOS) longer than 1 postoperative day in patients undergoing laparoscopic hysterectomy because of endometrial cancer. Retrospective observational study (Canadian Task Force classification II-2). Tertiary-care university hospital. One hundred thirty-three patients undergoing laparoscopic hysterectomy because of endometrial cancer between August 26 and August 21.InterventionsOne hundred thirty-three women underwent traditional laparoscopy. In 11 of these patients, lymph node sampling was performed. and Main OutcomesSeventy-four women (55%) were discharged on postoperative day The percentage of women discharged on postoperative day 1 (POD1) vs after POD 1 did not differ by extent of staging. Risk of perioperative complications was associated with hospital LOS longer than POD1 (odds ratio [OR], 11.45; 95% confidence interval [CI], 1.4 94.39). Procedure start time after 3:pm(OR, 3.2; 95% CI, 1.14 9.4) and procedure end time after 5:pm(OR, 2.47; 95% CI, 1.17 5.2) were independent factors associated with hospital LOS beyond PODThere was a nonsignificant tendency toward later hospital discharge with administration of intravenous narcotic agents. Laparoscopic surgery to treat endometrial cancer should be preferentially scheduled early in the day to facilitate discharge on PODThe extent of staging lymphadenectomy performed does not increase hospital stay beyond POD1.

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Accession: 036293921

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PMID: 22196258

DOI: 10.1016/j.jmig.2011.10.007

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