+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Laparoscopic surgery in obese women with endometrial cancer



Laparoscopic surgery in obese women with endometrial cancer



Journal of the American Association of Gynecologic Laparoscopists 7(1): 83-88



To analyze perioperative and postoperative outcomes of laparoscopic treatment of endometrial cancer in two groups of women of different weight. Prospective, multicenter clinical study (Canadian Task Force classification II-1). Three laparoscopic oncology centers. Sixty-five consecutive women with endometrial cancer, of whom 32 were not obese (weight <81. 7 kg) and 33 were obese (weight (3)81.7 kg, body mass index 30-40). Laparoscopic surgery. Three patients (1 nonobese, 2 obese) in whom laparoscopy was converted to laparotomy were removed from data analysis. Laparoscopy in the remaining 62 (94.38%) was completed successfully. Hysterectomy and pelvic and paraaortic lymphadenectomies were performed based on tumor grade and depth of myometrial invasion. In both groups, 28 women underwent pelvic lymphadenectomy and 21 paraaortic lymph node dissection or sampling. Eight patients had metastases in pelvic or paraaortic nodes. Deep myometrial invasion over 50% was present in five obese and two nonobese women. Mean operating time was 166 and 172 minutes, respectively. The rate of major complications and conversions was higher in the obese group (8 vs 5). Laparoscopic surgery is feasible in obese women and may also be considered for endometrial cancer, which typically occurs in obese women.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 046520573

Download citation: RISBibTeXText

PMID: 10648744

DOI: 10.1016/s1074-3804(00)80014-6


Related references

Feasibility and safety of laparoscopic surgery for obese Korean women with endometrial cancer: long-term results at a single institution. Journal of Korean Medical Science 29(11): 1536-1543, 2014

Feasibility and Safety of Laparoscopic Surgery for Obese Korean Women with Endometrial Cancer: Long-Term Results Obtained at a Single Institution. Journal of Minimally Invasive Gynecology 20(6): S158-S159, 2013

Current surgical treatment option, utilizing robot-assisted laparoscopic surgery in obese women with endometrial cancer: Farghaly's technique. Journal of the Egyptian National Cancer Institute 25(2): 57-61, 2013

Total laparoscopic hysterectomy for early stage endometrial cancer in obese and morbidly obese women. Journal of Obstetrics and Gynaecology 32(6): 580-584, 2012

A comparison of open surgery, robotic-assisted surgery and conventional laparoscopic surgery in the treatment of morbidly obese endometrial cancer patients. Jsls 19(1): E2014.00001, 2016

Laparoscopic management of endometrial cancer in nonobese and obese women: A consecutive series. Journal of Minimally Invasive Gynecology 13(4): 269-275, 2006

Total laparoscopic hysterectomy in morbidly obese women with endometrial cancer anaesthetic and surgical complications. European Journal of Gynaecological Oncology 30(2): 171-173, 2009

Total laparoscopic hysterectomy as a primary surgical treatment for endometrial cancer in morbidly obese women. Bjog 112(1): 115-117, 2005

Clinical outcome and complications of laparoscopic surgery compared with traditional surgery in women with endometrial cancer. Archives of Gynecology and Obstetrics 270(1): 25-30, 2004

Laparoscopic surgery for endometrial cancer in overweight women. Minerva Ginecologica 63(4): 315-323, 2011

Feasibility and morbidity of total laparoscopic radical hysterectomy with or without pelvic limphadenectomy in obese women with stage I endometrial cancer. Archives of Gynecology and Obstetrics 279(5): 655-660, 2009

Role of bariatric surgery in obese women with endometrial cancer risk. American Journal of Obstetrics and Gynecology 214(1): 138-139, 2016

Bariatric Surgery Improves Outcome in Obese Women With Endometrial Cancer. Journal of Minimally Invasive Gynecology 23(1): 138-139, 2016

Laparoscopic surgery in women with endometrial cancer: the learning curve. European Journal of Obstetrics Gynecology and Reproductive Biology 107(2): 195-200, 2003

Laparoscopic-assisted staging surgery for Korean women with endometrial cancer. Jsls 12(2): 150-155, 2008