Laparoscopic lymphadenectomy and vaginal or laparoscopic hysterectomy with bilateral salpingo-oophorectomy for endometrial cancer: Morbidity and survival

Javier F. Magrina, Nina F. Mutone, Amy L. Weaver, Paul Magtibay, R. Stuart Fowler, Jeffrey L Cornella

Research output: Contribution to journalArticle

141 Citations (Scopus)

Abstract

OBJECTIVES: Our goal was to evaluate the morbidity, recurrence, and survival of patients with clinical stage I endometrial cancer treated by laparoscopic lymphadenectomy with vaginal or laparoscopic hysterectomy and bilateral salpingo-oophorectomy. STUDY DESIGN: This article is a retrospective review of records for 56 patients. The mean follow-up among those alive at last contact was 2.4 years (range, 32 days-5.2 years). Staging according to the International Federation of Gynecology and Obstetrics (1988) was as follows: I, 45 (80.4%); II, 3 (5.4%); III, 6 (10.7%); and IV, 2 (3.6%). RESULTS: Intraoperative complications occurred in 4 patients (7.1%). Transformation to laparotomy was necessary in 7 patients. Postoperative complications were observed in 9 patients (16.1%). Pelvic irradiation was administered postoperatively to 11 patients (19.6%). Among the 45 patients with surgical stage I disease, the 3-year recurrence rate was 2.5% and the 3- year cause-specific survival was 96.0%. CONCLUSIONS: Laparoscopic lymphadenectomy and vaginal or laparoscopic hysterectomy with bilateral salpingo-oophorectomy provided 3-year survival and recurrence rates similar to those of the traditional abdominal approach.

Original languageEnglish (US)
Pages (from-to)376-381
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Volume181
Issue number2
DOIs
StatePublished - 1999

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Ovariectomy
Endometrial Neoplasms
Lymph Node Excision
Hysterectomy
Morbidity
Survival
Recurrence
Intraoperative Complications
Gynecology
Laparotomy
Obstetrics
Survival Rate

Keywords

  • Endometrial cancer
  • Hysterectomy
  • Laparoscopic lymphadenectomy
  • Salpingo- oophorectomy

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Laparoscopic lymphadenectomy and vaginal or laparoscopic hysterectomy with bilateral salpingo-oophorectomy for endometrial cancer : Morbidity and survival. / Magrina, Javier F.; Mutone, Nina F.; Weaver, Amy L.; Magtibay, Paul; Fowler, R. Stuart; Cornella, Jeffrey L.

In: American Journal of Obstetrics and Gynecology, Vol. 181, No. 2, 1999, p. 376-381.

Research output: Contribution to journalArticle

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AU - Weaver, Amy L.

AU - Magtibay, Paul

AU - Fowler, R. Stuart

AU - Cornella, Jeffrey L

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AB - OBJECTIVES: Our goal was to evaluate the morbidity, recurrence, and survival of patients with clinical stage I endometrial cancer treated by laparoscopic lymphadenectomy with vaginal or laparoscopic hysterectomy and bilateral salpingo-oophorectomy. STUDY DESIGN: This article is a retrospective review of records for 56 patients. The mean follow-up among those alive at last contact was 2.4 years (range, 32 days-5.2 years). Staging according to the International Federation of Gynecology and Obstetrics (1988) was as follows: I, 45 (80.4%); II, 3 (5.4%); III, 6 (10.7%); and IV, 2 (3.6%). RESULTS: Intraoperative complications occurred in 4 patients (7.1%). Transformation to laparotomy was necessary in 7 patients. Postoperative complications were observed in 9 patients (16.1%). Pelvic irradiation was administered postoperatively to 11 patients (19.6%). Among the 45 patients with surgical stage I disease, the 3-year recurrence rate was 2.5% and the 3- year cause-specific survival was 96.0%. CONCLUSIONS: Laparoscopic lymphadenectomy and vaginal or laparoscopic hysterectomy with bilateral salpingo-oophorectomy provided 3-year survival and recurrence rates similar to those of the traditional abdominal approach.

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