Analgesic and antiemetic needs following minimally invasive vs open staging for endometrial cancer

作者：Fleming Nicole D; Havrilesky Laura J; Valea Fidel A; Allen Terrence K; Broadwater Gloria; Bland Amy; Habib Ashraf S^*

来源：American Journal of Obstetrics and Gynecology, 2011, 204(1).

DOI：10.1016/j.ajog.2010.08.020

• endometrial cancer
• laparoscopy

OBJECTIVE: We sought to assess perioperative outcomes of minimally invasive vs open endometrial cancer staging procedures.
STUDY DESIGN: A total of 181 consecutive patients underwent open or minimally invasive hysterectomy with or without lymphadenectomy. Perioperative outcomes, analgesic, and antiemetic use were compared.
RESULTS: In all, 97 and 84 women underwent open and minimally invasive staging procedures, respectively. In the open staging group, median anesthesia time was shorter (197 vs 288 minutes; P < .0001), but recovery room stay (168 vs 140 minutes; P = .01) and hospital stay (4 vs 1 day; P < .0001) were longer. Median narcotic (13 vs 43 mg morphine equivalents; P < .0001) and antiemetic (43% vs 25%; P = .01) use were lower for minimally invasive surgery in the first 24 hours postoperatively. Median estimated blood loss was lower for minimally invasive procedures (100 vs 300 mL; P < .0001).
CONCLUSION: Minimally invasive staging for endometrial cancer is associated with lower use of narcotics and antiemetics, and shorter hospital stay compared to open procedures.

• 出版日期2011-1