Abstract

DIAZ ORTEGA, Israel et al. Videolaparoscopic staging in endometrial adenocarcinoma. Rev Cubana Obstet Ginecol [online]. 2014, vol.40, n.1, pp.58-67. ISSN 0138-600X.

Introduction: the laparoscopic approach of endometrial carcinoma in order to performance the surgical staging offer important benefit to the patient reducing the ileum frequency and post operative pain, besides to diminish the surgical trauma and immunity function alterations respect to conventional surgery. Methods: It is carried out an observational descriptive study of a consecutive series of 18 patients to were achieved laparoscopic staging surgery in The Minimally Invasive Surgery National Center, in the period between February 2012 and July 2013. Objective: to describe the surgical result. The variables in study were: age, surgical time, bleeding during the procedure, tumor histology, miometrial infiltration, vascular and lymphatic space permeation, lymph node involvement and adjuvant therapy. Percentage, average and standard deviation were available like measures of summary the variable employed. Results: the mean age of studied patients was 62.1± 8.5 years. The surgical time of 218.4 ± 60.5 minutes. There were two patients with lymph nodes metastasis. Just one patient had post operatory complication and was not necessary re intervention. The 45.5% of the patients required adjuvant treatment. Conclusions: the laparoscopic staging surgery is a feasible and sure procedure for the treatment and adjuvant therapy planning in endometrial carcinoma.

Keywords : endometrial carcinoma; staging surgery; lymphadenectomy.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )