Novel technique for the complete staging of endometrial cancer by single-port laparoscopy.

Abstract:

OBJECTIVE:Our aim was to evaluate the feasibility of a novel technique using single-port laparoscopy for the complete surgical staging of endometrial cancer. METHODS:Total hysterectomy, bilateral salpingo-oophorectomy, pelvic lymphadenectomy and para-aortic lymphadenectomy was performed using a single-port device in two steps: first, a retroperitoneal para-aortic dissection was conducted, followed by a transperitoneal pelvic lymphadenectomy and a total hysterectomy. Conventional laparoscopic instruments were used in all cases. Perioperative details were collected. RESULTS:Four consecutive patients with endometrial cancer underwent single-port laparoscopic staging procedure. All cases were high-risk endometrial cancers (two FIGO stage IA and two IB). Histologic types included three adenocarcinomas and one carcinosarcoma. The median operating time was 280min (ranged 240-320min), and the median length of stay was 3.5days (ranged 3-6days). No complications or conversion to conventional multiport laparoscopy were reported. CONCLUSIONS:Single-port laparoscopic surgical staging for endometrial cancer is a feasible procedure, even when the procedure included a para-aortic lymph node dissection.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Zapardiel I,Moreno E,Piñera A,De Santiago J

doi

10.1016/j.ygyno.2015.12.014

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

369-71

issue

2

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(15)30217-1

journal_volume

140

pub_type

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