Hysterectomy and laparoscopic staging for endometrial cancer

Initial experience of 11 cases

Abstract

Objective: to describe the results obtained in laparoscopies for endometrial cancer at the Gynecological Endoscopy and Oncological Gynecology Service in the Pereira Rossell Hospital.
Method: we conducted a descriptive study that included 11 patients who were scheduled for a laparoscopic hysterectomy during a 12 month period from March, 2011 through March 2012. Variables such as age, diagnosis upon admission, surgical history, body weight, length of surgery, blood loss, intraoperative complications, length of stay in the hospital and postoperative evolution were recorded.
Results: 11 patients were included, average age was 60 years old and average body weight was 65 kg. Laparoscopic surgery was completed in ten patients, representing a 9% conversion rate. An accidental sigmoid lesion occurred, and it was solved within the same surgical procedure by suturing the lesion, with no further complications and a positive outcome. Average length of surgery was 134 minutes and average intraoperative bleeding was 140 ml. Lymphadenectomy was performed in three cases. There were ten pelvic lymph nodes and seven lumbo-aortic lymph nodes. Average length of stay in hospital was two days.
Conclusions: laparoscopic hysterectomy with lymphadenecotmy is a procedure that accounts for a low morbility and is advantageous for patients. The procedure may be included in the Oncological Gynecology Service as a sequential approach to malign gynecological pathologies.