Advantages of Laparoscopy Versus Laparotomy in Extremely Obese Women (BMI > 35) with Early-stage Endometrial Cancer: A Multicenter Study

作者：Tinelli Raffaele^*; Litta Pietro; Meir Yoram; Surico Daniela; Leo Livio; Fusco Annarita; Angioni Stefano; Cicinelli Ettore

来源：Anticancer Research, 2014, 34(5): 2497-2502.

• Endometrial cancer
• hysterectomy
• laparoscopy
• lymphadenectomy
• obese women

Background: The aim of the present study was to demonstrate the advantages. of laparoscopy versus laparotomy for treatment of extremely obese women with early-stage endometrial cancer. Materials and Methods: Seventy-five extremely obese patients with Body Mass Index >35 kg/m(2) and clinical stage I endometrial cancer underwent hysterectomy and bilateral salpingooophorectomy, and in all cases we performed systematic pelvic lymphadenectomy by laparoscopy (mean BMI of 38+/-7.3 kg/m(2)) or laparotomy (mean BMI of 39+/-8.1 kg/m(2)). Results: In two (4.4%) patients of the laparoscopy group we observed a port site haematoma that was resolved without a second surgery. In three patients of the laparotomy-group, we observed dehiscence of the abdominal suture with surgical site infection that was re-sutured. Conclusion: Laparoscopy can be considered a safe and effective therapeutic procedure for managing early-stage endometrial cancer in extremely obese women with a lower complication rate, lower surgical site infection and postoperative hospitalization.

• 出版日期2014-5