Laparoscopic Hysterectomy and Pelvic Lymphadenectomy for Early Endometrial Carcinoma

Document Type : Original Article

Authors

1 Department of Surgical Oncology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

2 Department of General Surgery, Faculty of Medicine, Menoufia University, Shebin El-Kom, Menoufia, Egypt

Abstract

Background: Endometrial carcinoma is a common female malignancy. Accurate staging of endometrial carcinoma is crucial, as the treatment plane depends on the tumour stage. Surgical excision is the gold-slandered treatment for such cases.
Aim of the work: This study aims to assess the surgical outcomes of laparoscopic hysterectomy and pelvic lymphadenectomy in early endometrial carcinoma.
Patients and Methods: A total of 30 patients with early endometrial carcinoma were collected prospectively. The study was done at Menoufia university hospital and Bab-Elsheria Hospital in Egypt. All patients underwent laparoscopic Hysterectomy, Bilateral salpingo-oophorectomy, and pelvic lymphadenectomy [HBSO&PLA].
Results: The mean age of patients was 53±3 years.  The mean operative time was 142± 14 minutes. Hospital stay was 2 ± 1 day. The perioperative complications included intraoperative bleeding in 2 patients [6.66 %] and port site infection in one patient [3.3 %], with no DVT or mortality.
Conclusion: Laparoscopic surgery for endometrial carcinoma is safe, feasible, and of great benefit in reducing the time for a hospital stay, less postoperative pain, early return to work, good in retrieving pelvic lymph nodes, provide proper surgical staging, and has a low rate of complications

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