Single-access laparoscopic approach in the surgical treatment of endometrial cancer: A single-institution experience and review of literature

Background: The aim of this study was to assess the surgical and oncological outcome for the management of endometrial cancer (EC) by laparoendoscopic single-site surgery (LESS). Patients and Methods: We performed a retrospective chart review of patients who underwent a LESS for EC. All the patients...

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Main Authors: Giacomo Corrado, Giuseppe Cutillo, Giulia Pomati, Emanuela Mancini, Ermelinda Baiocco, Lodovico Patrizi, Maria Saltari, Francesco Barletta, Fabiola Patani, Enrico Vizza
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=4;spage=360;epage=365;aulast=Corrado
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author Giacomo Corrado
Giuseppe Cutillo
Giulia Pomati
Emanuela Mancini
Ermelinda Baiocco
Lodovico Patrizi
Maria Saltari
Francesco Barletta
Fabiola Patani
Enrico Vizza
author_facet Giacomo Corrado
Giuseppe Cutillo
Giulia Pomati
Emanuela Mancini
Ermelinda Baiocco
Lodovico Patrizi
Maria Saltari
Francesco Barletta
Fabiola Patani
Enrico Vizza
author_sort Giacomo Corrado
collection DOAJ
description Background: The aim of this study was to assess the surgical and oncological outcome for the management of endometrial cancer (EC) by laparoendoscopic single-site surgery (LESS). Patients and Methods: We performed a retrospective chart review of patients who underwent a LESS for EC. All the patients were treated by the same surgical team between July 2009 and June 2013 at the Gynaecologic Oncologic Unit, Regina Elena National Cancer Institute, Rome, Italy. Results: A total of 50 women were included, with a median age of 45 years (range, 39-84 years) and a median body mass index (BMI) of 21.8 kg/m2 (range, 19-48 kg/m2). Median operative time was 100 min (range, 50-240 min), median blood loss was 90 mL (range, 10-300 mL) and median hospital stay was 3 days (range, 2-9 days). The median number of pelvic lymph nodes retrieved was 14 (range, 5-20). No intraoperative complications occurred, but there were 4 postoperative complications. Two patients required a laparoscopic conversion. The median follow-up was 36 months (range, 16-62 months) and no recurrence occurred. Conclusion: Our report showed that the LESS approach in the treatment of early EC can be a safe and reliable technique in terms of surgical and oncological outcomes.
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spelling doaj.art-a999b0e0769246a09c1e08acddde7e062022-12-22T01:42:41ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212016-01-0112436036510.4103/0972-9941.186690Single-access laparoscopic approach in the surgical treatment of endometrial cancer: A single-institution experience and review of literatureGiacomo CorradoGiuseppe CutilloGiulia PomatiEmanuela ManciniErmelinda BaioccoLodovico PatriziMaria SaltariFrancesco BarlettaFabiola PataniEnrico VizzaBackground: The aim of this study was to assess the surgical and oncological outcome for the management of endometrial cancer (EC) by laparoendoscopic single-site surgery (LESS). Patients and Methods: We performed a retrospective chart review of patients who underwent a LESS for EC. All the patients were treated by the same surgical team between July 2009 and June 2013 at the Gynaecologic Oncologic Unit, Regina Elena National Cancer Institute, Rome, Italy. Results: A total of 50 women were included, with a median age of 45 years (range, 39-84 years) and a median body mass index (BMI) of 21.8 kg/m2 (range, 19-48 kg/m2). Median operative time was 100 min (range, 50-240 min), median blood loss was 90 mL (range, 10-300 mL) and median hospital stay was 3 days (range, 2-9 days). The median number of pelvic lymph nodes retrieved was 14 (range, 5-20). No intraoperative complications occurred, but there were 4 postoperative complications. Two patients required a laparoscopic conversion. The median follow-up was 36 months (range, 16-62 months) and no recurrence occurred. Conclusion: Our report showed that the LESS approach in the treatment of early EC can be a safe and reliable technique in terms of surgical and oncological outcomes.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=4;spage=360;epage=365;aulast=CorradoEndometrial cancer (EC)laparoendoscopic single-site surgery (LESS)minimally invasive surgery
spellingShingle Giacomo Corrado
Giuseppe Cutillo
Giulia Pomati
Emanuela Mancini
Ermelinda Baiocco
Lodovico Patrizi
Maria Saltari
Francesco Barletta
Fabiola Patani
Enrico Vizza
Single-access laparoscopic approach in the surgical treatment of endometrial cancer: A single-institution experience and review of literature
Journal of Minimal Access Surgery
Endometrial cancer (EC)
laparoendoscopic single-site surgery (LESS)
minimally invasive surgery
title Single-access laparoscopic approach in the surgical treatment of endometrial cancer: A single-institution experience and review of literature
title_full Single-access laparoscopic approach in the surgical treatment of endometrial cancer: A single-institution experience and review of literature
title_fullStr Single-access laparoscopic approach in the surgical treatment of endometrial cancer: A single-institution experience and review of literature
title_full_unstemmed Single-access laparoscopic approach in the surgical treatment of endometrial cancer: A single-institution experience and review of literature
title_short Single-access laparoscopic approach in the surgical treatment of endometrial cancer: A single-institution experience and review of literature
title_sort single access laparoscopic approach in the surgical treatment of endometrial cancer a single institution experience and review of literature
topic Endometrial cancer (EC)
laparoendoscopic single-site surgery (LESS)
minimally invasive surgery
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=4;spage=360;epage=365;aulast=Corrado
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