Laparoscopic technology for the treatment of endometrial cancer

Kueck, Angela; Gossner, Gabrielle; Burke, William M.; Reynolds, R. Kevin

doi:10.1016/j.ijgo.2006.02.013

Cited by 18 publications

(4 citation statements)

References 26 publications

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“…19 However, within the past decade, minimally invasive surgeries have evolved and are often used to treat many gynecologic cancers. 18,20 Obesity plays a central role in the etiology of, management options for, and treatment outcomes of endometrial cancer. Management of an obese patient is quite challenging, and the goal in management is to reduce morbidity and mortality, and improve survival.…”

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confidence: 99%

The Impact of Obesity on Surgical Outcome in Endometrial Cancer Patients: A Systematic Review

Orekoya

Samson

Trivedi

et al. 2016

Journal of Gynecologic Surgery

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Background: Obesity is a significant public health problem in the United States, and many studies have established obesity as a significant risk factor for endometrial cancer. Surgery is the standard of care in staging and treatment of endometrial cancer, and obesity may influence surgical outcomes because of its attendant comorbid conditions. Therefore, assessment of the impact of obesity on surgical outcome is important for decreasing morbidity and improving survival in patients with endometrial cancer. Objective: The aims of this research were to evaluate and review epidemiologic data systematically on the impact of obesity on surgical outcomes and to assess safety and feasibility of newer surgical techniques in obese patients. Materials and Methods: A systematic search of PubMed was conducted to identify articles between 2004 and 2013 that focused on the impact of obesity on surgical outcome. Reference lists of retrieved articles were also used to identify other relevant articles. Thirteen relevant articles were reviewed. Results: Evidence from epidemiologic studies showed that obesity impacts surgical outcome adversely. On average, obese patients have worse surgical outcomes than their nonobese counterparts. In addition, surgical outcome worsens as level of obesity increases. However, surgical procedure also influences this association. Minimally invasive surgeries are more useful and are accompanied with fewer complications than conventional laparotomy and can be performed safely in obese patients. Conclusions: Obesity is a significant risk in the etiology, treatment, and surgical outcomes of patients with endometrial cancer. Future research will need more randomized controlled trials and prospective studies to identify the best procedures for maximal outcomes. ( J GYNECOL SURG 32:149)

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confidence: 99%

The Impact of Obesity on Surgical Outcome in Endometrial Cancer Patients: A Systematic Review

Orekoya

Samson

Trivedi

et al. 2016

Journal of Gynecologic Surgery

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“…Formerly, laparotomy (LPT) was the surgical approach most commonly performed for the appropriate staging and treatment of endometrial cancer. However, in the last two decades, minimally invasive surgical techniques have been developed, such as laparoscopy (LPC) and robotic assisted laparoscopy (RBT), improving the quality of life for patients in the short term . The first study on the LPC approach to endometrial cancer was published in 1993 by Childer; later the GOGLAP2 study was the first randomized controlled trial to compare LPC and LPT for early stage endometrial cancer and concluded that the LPC route was feasible and meant less operative morbidity than open surgery in the short term and led to a shorter hospital stay.…”

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confidence: 99%

Surgical approaches in women with endometrial cancer with a body mass index greater than 35 kg/m²

Raventós-Tato

Vega

Sánchez-Iglesias

et al. 2018

J of Obstet and Gynaecol

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“… 2 Traditionally, surgery has been performed using an abdominal approach (laparotomy); however, with the advent of laparoscopy, in the past decade, it became feasible to carry out the procedure using a minimally invasive technique. 3 , 4 Several studies have demonstrated that laparoscopy could result in fewer postoperative adverse events and shorter hospitalization than laparotomy, with no significant difference in the overall survival. 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

Comparative analyses of postoperative complications and prognosis of different surgical procedures in stage II endometrial carcinoma treatment

Yin¹,

Gui²

2016

OTT

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ObjectiveTo investigate the impact of surgical resection extent on the postoperative complications and the prognosis in patients with stage II endometrial cancer.MethodsA total of 54 patients were retrospectively reviewed, 35 patients underwent subradical hysterectomy and 19 patients received radical hysterectomy, both with simultaneous bilateral salpingo-oophorectomy and pelvic and paraaortic lymphadenectomy.ResultsComparing the surgical outcomes in subradical hysterectomy group vs radical hysterectomy group, there were no significant differences in operative time, estimated blood loss, and hospital stay. After surgery, 37.1% vs 36.8% patients received postoperative radiotherapy in the subradical hysterectomy group vs radical hysterectomy group, without statistically significant difference. As for postoperative complications, the early postoperative complication rate in patients who underwent subradical hysterectomy was 14.3%, significantly lower than that in patients submitted to radical hysterectomy (14.3% vs 42.1%), with P=0.043. However, there was no significant difference in late postoperative complication rate between the two surgical procedures. Regarding the clinical prognosis, patients receiving the subradical hysterectomy showed similar survival to their counterparts undergoing the radical procedures. The relapse rate was 5.71% vs 5.26%, respectively, without significant difference. There were no deaths in both surgical groups.ConclusionFor stage II endometrial carcinoma, subradical hysterectomy presented with less early postoperative complications and similar survival duration and recurrence compared with radical hysterectomy and should be advocated in clinical treatment.

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Laparoscopic technology for the treatment of endometrial cancer

Cited by 18 publications

References 26 publications

The Impact of Obesity on Surgical Outcome in Endometrial Cancer Patients: A Systematic Review

The Impact of Obesity on Surgical Outcome in Endometrial Cancer Patients: A Systematic Review

Surgical approaches in women with endometrial cancer with a body mass index greater than 35 kg/m²

Comparative analyses of postoperative complications and prognosis of different surgical procedures in stage II endometrial carcinoma treatment

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Laparoscopic technology for the treatment of endometrial cancer

Cited by 18 publications

References 26 publications

The Impact of Obesity on Surgical Outcome in Endometrial Cancer Patients: A Systematic Review

The Impact of Obesity on Surgical Outcome in Endometrial Cancer Patients: A Systematic Review

Surgical approaches in women with endometrial cancer with a body mass index greater than 35 kg/m2

Comparative analyses of postoperative complications and prognosis of different surgical procedures in stage II endometrial carcinoma treatment

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Surgical approaches in women with endometrial cancer with a body mass index greater than 35 kg/m²