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The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3403385/ https://www.ncbi.nlm.nih.gov/pubmed/22844589 http://dx.doi.org/10.1155/2012/263850 |
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author | Volpi, Eugenio Bernardini, Luca Ferrero, Anna Maria |
author_facet | Volpi, Eugenio Bernardini, Luca Ferrero, Anna Maria |
author_sort | Volpi, Eugenio |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3403385 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-34033852012-07-27 The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer Volpi, Eugenio Bernardini, Luca Ferrero, Anna Maria Int J Surg Oncol Clinical Study 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. Hindawi Publishing Corporation 2012 2012-07-13 /pmc/articles/PMC3403385/ /pubmed/22844589 http://dx.doi.org/10.1155/2012/263850 Text en Copyright © 2012 Eugenio Volpi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Volpi, Eugenio Bernardini, Luca Ferrero, Anna Maria The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer |
title | The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer |
title_full | The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer |
title_fullStr | The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer |
title_full_unstemmed | The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer |
title_short | The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer |
title_sort | retrograde and retroperitoneal totally laparoscopic hysterectomy for endometrial cancer |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3403385/ https://www.ncbi.nlm.nih.gov/pubmed/22844589 http://dx.doi.org/10.1155/2012/263850 |
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