The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer
Joint Authors
Bernardini, Luca
Ferrero, Anna Maria
Volpi, Eugenio
Source
International Journal of Surgical Oncology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-07-13
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
We retrospectively report our experience with the utilization of an original procedure for total laparoscopic hysterectomy based on completely retrograde and retroperitoneal technique for surgical staging and treatment of the endometrial cancer.
The surgical, financial, and oncological advantages are here discussed.
Methods.
The technique used here has been based on a combination of a retroperitoneal approach with a retrograde and lateral dissection of the bladder and retrograde culdotomy with variable resection of parametrium.
No disposable instruments and no uterine manipulator were utilized.
Results.
Intraoperative and postoperative complications were observed in 10% of the cases overall.
Operative time length and mean haemoglobin drop value results were 129 min and 125 mL, respectively.
Most patients were dismissed on days 3–5 from the hospital.
Seventy-eight percent of the patients were alive with no evidence of disease at mean followup of 49 months.
Conclusions.
Our original laparoscopic technique is based on a retroperitoneal approach in order to rapidly control main uterine vessels coagulation, constantly check the ureter, and eventually decide type and site of lymph nodes removal.
This procedure has important cost saving implications and the avoidance of uterine manipulator is of matter in case such as these of uterine malignancy.
American Psychological Association (APA)
Volpi, Eugenio& Bernardini, Luca& Ferrero, Anna Maria. 2012. The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer. International Journal of Surgical Oncology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-458581
Modern Language Association (MLA)
Volpi, Eugenio…[et al.]. The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer. International Journal of Surgical Oncology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-458581
American Medical Association (AMA)
Volpi, Eugenio& Bernardini, Luca& Ferrero, Anna Maria. The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer. International Journal of Surgical Oncology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-458581
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-458581