extraperitoneal laparoscopy
Recently Published Documents


TOTAL DOCUMENTS

26
(FIVE YEARS 3)

H-INDEX

8
(FIVE YEARS 0)

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Wei Zhang ◽  
Lingfang Xia ◽  
Xiaotian Han ◽  
Xingzhu Ju ◽  
Xiaohua Wu ◽  
...  

Abstract Background Removing more inframesenteric nodes is not only significantly increases the likelihood of finding metastasis for endometrial cancer, but also can add survival advantage. As most patients diagnosed with endometrial cancer are overweight or obesity, a high efficiency approach is important. Aim of this study was to compare the surgical outcomes of extraperitoneal laparoscopic, transperitoneal laparoscopic, and laparotomic para-aortic lymphadenectomy in endometrial carcinoma staging. Methods We retrospectively reviewed data of all patients diagnosed with primary endometrial carcinoma who were treated at the Department of Gynecologic Oncology, Fudan University Shanghai Cancer Center from 1 January 2017 to 31 December 2019. The numbers of para-aortic lymph nodes, surgical time, complications, blood loss and hospital stay were compared. The patients’ medical records and pathological reports were carefully reviewed. Statistical significance was defined as p < 0.05. Results We retrospectively compared patients who underwent extraperitoneal laparoscopy (Group E, n = 20), transperitoneal laparoscopy (group T, n = 21), and laparotomy (group L, n = 135). The median number of para-aortic lymph nodes was significantly higher in group E than in groups T and L (9.5, 5, and 6, respectively; p = 0.004 and 0.0004, respectively). All patients in group E underwent successfully dissection to the renal vessel level. The median operation time was significantly shorter in group L than in groups T and E (94, 174, and 233 min, respectively; p < 0.0001). The median estimated blood loss volume was higher in group L than in groups T and E (200, 100, and 142.5 ml, respectively; all comparisons p < 0.001), and the length of hospital stay was significantly longer in group L than in Groups T and E (6, 5, and 6 days, respectively; all comparisons p < 0.001). Conclusion The extraperitoneal laparoscopic approach for staging endometrial carcinoma harvested higher numbers of para-aortic lymph nodes which could be considered for endometrial carcinoma staging, especially for para-aortic lymph node harvest.


2021 ◽  
Author(s):  
Wei Zhang ◽  
Lingfang Xia ◽  
Xiaotian Han ◽  
Xingzhu Ju ◽  
Xiaohua Wu ◽  
...  

Abstract Background: To compare the surgical outcomes of extraperitoneal laparoscopic, transperitoneal laparoscopic, and laparotomic para-aortic lymphadenectomy in endometrial carcinoma staging. Methods: We retrospectively reviewed data of all patients diagnosed with primary endometrial carcinoma who were treated at the Department of Gynecologic Oncology, Fudan University Shanghai Cancer Center from 1 January 2017 to 31 December 2019. The numbers of para-aortic lymph nodes, surgical time, complications, blood loss and hospital stay were compared. The patients' medical records and pathological reports were carefully reviewed. Statistical significance was defined as p< 0.05. Results: We retrospectively compared patients who underwent extraperitoneal laparoscopy (Group E, n=20), transperitoneal laparoscopy (Group T, n=21), and laparotomy (Group L, n=135). The median number of para-aortic lymph nodes was significantly higher in Group E than in Group T andL (9.5, 5, and 6, respectively; p=0.004 and 0.0004, respectively). All patients in Group E underwent successfully dissction to the renal vessel level. The median operation time was significantly shorter in Group L than in Groups T and E (94, 174, and 233 minutes, respectively; p<0.0001). The median estimated blood loss volume was higher in Group L than in Groups T and E (200, 100, and 142.5 ml, respectively; all comparisons p<0.001), and the length of hospital stay was significantly longer in Group L than in Groups T and E (6, 56, and 6 days, respectively; all comparisons p<0.001). Conclusion: The extraperitoneal laparoscopic approach for staging endometrial carcinoma harvested higher numbers of para-aortic lymph nodes which could be considered for endometrial carcinoma staging, especially for para-aortic lymph node harvest.


2021 ◽  
Vol 10 (3) ◽  
pp. 181
Author(s):  
Nilofar Noor ◽  
Anamika Das ◽  
KallolKumar Roy ◽  
Juhi Bharti ◽  
VinodG Nair ◽  
...  

2017 ◽  
Vol 31 (10) ◽  
pp. 3939-3945 ◽  
Author(s):  
Fábio Yuji Suguita ◽  
Felipe Futema Essu ◽  
Lucas Torres Oliveira ◽  
Leandro Ryuchi Iuamoto ◽  
Juliana Mika Kato ◽  
...  

2016 ◽  
pp. 751-761
Author(s):  
Panagiotis Kallidonis ◽  
Evangelos Liatsikos ◽  
Iason Kyriazis ◽  
Minh Do ◽  
Jens-Uwe Stolzenburg

2014 ◽  
Vol 21 (6) ◽  
pp. 972-973 ◽  
Author(s):  
Alejandro Correa-Paris ◽  
Berta Díaz-Feijoo ◽  
Silvia Franco-Camps ◽  
Antonio Gil-Moreno

2010 ◽  
Vol 39 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Seref Basal ◽  
Yasar Ozgok ◽  
Lutfi Tahmaz ◽  
Abdulkadir Atim ◽  
Murat Zor ◽  
...  

2010 ◽  
Vol 65 (1) ◽  
pp. 21-22
Author(s):  
Arash Rafii ◽  
Alexandra Camicas ◽  
Gwenael Ferron ◽  
Eliane Mery ◽  
Laurence Gladieff ◽  
...  

2009 ◽  
Vol 201 (4) ◽  
pp. 370.e1-370.e5 ◽  
Author(s):  
Arash Rafii ◽  
Alexandra Camicas ◽  
Gwenael Ferron ◽  
Eliane Mery ◽  
Laurence Gladieff ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document