Comparison of reoperation rates, perioperative outcomes in women with endometrial cancer when the standard of care shifts from open surgery to laparoscopy

Journal article


Publication Details

Author(s): Boosz A, Häberle L, Renner S, Thiel F, Mehlhorn G, Beckmann M, Mueller A
Journal: Archives of gynecology and obstetrics
Publication year: 2014
Volume: 290
Journal issue: 6
Pages range: 1215-20
ISSN: 0932-0067
eISSN: 1432-0711


Abstract


To analyze reoperation rates and perioperative outcomes after long-term follow-up of two surgical approaches in the treatment of endometrial cancer when the standard of care shifts from open surgery to laparoscopy at a university hospital.In this retrospective monocenter study a total of 267 patients with endometrial cancer were included; 107 women underwent laparoscopy and 160 laparotomy. All of the patients received total hysterectomy, bilateral salpingo-oophorectomy, and pelvic and para-aortic lymphadenectomy, depending on individual pathological features (e.g. high risk for positive lymph nodes) and the expertise of the surgeon.Repeat surgery was needed significantly more often in the laparotomy group in comparison with the laparoscopy group (11.9 vs. 0.9 %, respectively; P < 0.001). Hospital stays were longer in the laparotomy group in comparison with laparoscopy (16.2 vs. 9.5 days; P < 0.000001). Postoperative complications were significantly more frequent in the laparotomy group in comparison with laparoscopy (25.0 vs. 10.3 %; P < 0.01). Operating times and preoperative and postoperative hemoglobin differences were similar in the two groups (193.9 vs. 190.6 min, 2.0 vs. 1.8 g/dl). Intraoperative complication rates were similar in the two groups (3.8 vs. 5.6 %).Laparoscopy is a safe alternative to laparotomy for low risk endometrial cancer patients and offers markedly improved perioperative outcomes with a lower reoperation rate and fewer postoperative complications when the standard of care shifts from open surgery to laparoscopy in a university hospital.



FAU Authors / FAU Editors

Beckmann, Matthias Prof. Dr.
Lehrstuhl für Geburtshilfe und Frauenheilkunde
Renner, Stefan Prof. Dr.
Frauenklinik
Thiel, Falk PD Dr.
Medizinische Fakultät


How to cite

APA:
Boosz, A., Häberle, L., Renner, S., Thiel, F., Mehlhorn, G., Beckmann, M., & Mueller, A. (2014). Comparison of reoperation rates, perioperative outcomes in women with endometrial cancer when the standard of care shifts from open surgery to laparoscopy. Archives of gynecology and obstetrics, 290(6), 1215-20. https://dx.doi.org/10.1007/s00404-014-3347-9

MLA:
Boosz, Alexander, et al. "Comparison of reoperation rates, perioperative outcomes in women with endometrial cancer when the standard of care shifts from open surgery to laparoscopy." Archives of gynecology and obstetrics 290.6 (2014): 1215-20.

BibTeX: 

Last updated on 2018-09-10 at 07:20