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 qua...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 cm3 vs. 285 cm3; 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.展开更多
文摘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 cm3 vs. 285 cm3; 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.
