Minimally invasive surgery for gynecological cancers: Experience of one institution

Jung, JingJin; Thain, Serene; He, Song; Yam, Kwai Lam; Lim, Timothy Yong Kuei

doi:10.1016/j.gmit.2014.04.001

Cited by 7 publications

(3 citation statements)

References 21 publications

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“…Although laparoscopic surgery is less invasive than laparotomy, 5,15,16 the difficulty in the differential diagnosis of AEH and well-differentiated endometrioid EC may result in enforced secondary surgery or overtreatment. In this study, we focused on patients with preoperatively diagnosed AEH (after total curettage), and examined what kind of findings are associated with a final diagnosis of EC.…”

Section: Discussionmentioning

confidence: 99%

“…1e4 Laparoscopic surgery is broadly applied for early stage EC patients as well as AEH patients. 5,6 However, the type of surgery is not the same for AEH and EC. Hysterectomy and bilateral salpingo-oophorectomy (BSO) are considered to be minimally required as a standard surgical treatment in EC, even at Stage I/II (International Federation of Gynecology and Obstetrics staging), as ovarian metastasis was reported to be detected in 5e10% of EC patients with a preoperative evaluation of Stage I/II.…”

Section: Introductionmentioning

confidence: 99%

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Risk of endometrial cancer in patients with a preoperative diagnosis of atypical endometrial hyperplasia treated with total laparoscopic hysterectomy

Oda

Koga

Hirata

et al. 2016

Gynecology and Minimally Invasive Therapy

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Keywords: atypical endometrial hyperplasia endometrial cancer hysteroscopy total curettage total laparoscopic hysterectomy a b s t r a c t Objective: Distinguishing atypical endometrial hyperplasia (AEH) and endometrial cancer (EC) is often difficult, and patients with a preoperative diagnosis of AEH are sometimes diagnosed with EC after hysterectomy. In this study, we assessed the risk factors for EC in patients who underwent total laparoscopic hysterectomy (TLH) with a preoperative diagnosis of AEH. Patients and methods: We retrospectively analyzed 20 patients with a preoperative diagnosis of AEH using endometrial cytology, biopsy (fractional and total curettage), and hysteroscopic inspection. Results: Four of 20 (20%) patients were diagnosed with EC after TLH, all of whom had endometrioid adenocarcinoma Grade 1 and Stage IA without lymph node metastasis. Four of seven (57%) patients who were highly suspected of having EC by three diagnostic modalities (cytology, fractional curettage, and by hysteroscopy) were diagnosed with EC after TLH, whereas none of the 13 without any suspicious findings in these examinations were diagnosed with EC (p ¼ 0.007 by Fisher's exact test). Hysteroscopic findings were positive (suspicious of EC) in six of 11 patients tested, including all four EC patients. However, either endometrial cytology or fractional curettage alone failed to predict cancer in two EC patients. All four EC patients were also suspected of having EC by total curettage. Ovarian preservation was performed in 12 (60%) patients. Three of the four EC patients received subsequent surgery, including pelvic lymphadenectomy. Conclusion: Careful preoperative examinations, including hysteroscopy, might be useful to evaluate the risk of EC. Accordingly, we should be still careful about the possibility of overdiagnosis in patients with AEH.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk of endometrial cancer in patients with a preoperative diagnosis of atypical endometrial hyperplasia treated with total laparoscopic hysterectomy

Oda

Koga

Hirata

et al. 2016

Gynecology and Minimally Invasive Therapy

View full text Add to dashboard Cite

show abstract

“…Initial reports date back to 1970s [1][2][3]. The use of laparoscopy has been established in oncologic surgeries with innumerable advantages [4] such as being safe, less invasive, preservation of oncologic and immunologic functions and shorter intervals to start of adjuvant treatment if needed [5]. However, minimally invasive onco-surgeries may have complications like vascular injuries, bowel injuries, genitourinary injuries and port-site metastases (PSMs) [6,7].…”

Section: Introductionmentioning

confidence: 99%

Port Site Metastases after Minimally Invasive Gynaecologic Cancer Surgery – ‘Prevention is better than Cure’

2016

Pancreat Disord Ther

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Rationale of Laparoscopic Surgery in Gynaecological Oncology: Time to Address the Issue!

Makhija

Parekh

Mankad

et al. 2018

Indian J Gynecol Oncolog

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Minimally invasive surgery for gynecological cancers: Experience of one institution

Cited by 7 publications

References 21 publications

Risk of endometrial cancer in patients with a preoperative diagnosis of atypical endometrial hyperplasia treated with total laparoscopic hysterectomy

Risk of endometrial cancer in patients with a preoperative diagnosis of atypical endometrial hyperplasia treated with total laparoscopic hysterectomy

Port Site Metastases after Minimally Invasive Gynaecologic Cancer Surgery – ‘Prevention is better than Cure’

Rationale of Laparoscopic Surgery in Gynaecological Oncology: Time to Address the Issue!

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