抄録
Objective: The aims of this study were to evaluate the use of laparoscopic surgery for early-stage endometrial cancer, with regard to the feasibility, safety, and outcomes of the procedures.
Methods: Six patients with clinical stage IB, G1-2 endometrial cancer diagnosed preoperatively underwent laparoscopy. The surgical procedures included hysterectomy, salpingo-oophorectomy, and pelvic lymphadenectomy. The outcomes and operative procedures were evaluate.
Result(s): All 6 patients were successfully treated using laparoscopy. The mean operative time was 318 minutes (range, 265-387 minutes), mean amount of bleeding was 304 g (range, 100-664 g), mean number of excised lymph nodes was 35.8 (range, 22-50), and mean duration of postoperative hospitalization was 5.7 days (range, 5-7 days). Severe adverse events were not encountered.
Conclusion(s): Laparoscopic surgery that is based on the procedures for total laparoscopic hysterectomy for benign disease and for laparotomy for malignant disease appears to be feasible for early-stage endometrial cancer, if care is taken with the anatomical structures in the retroperitoneal space.
