Faisabilité et fiabilité de la cœliochirurgie dans les cancers utérins chez les patientes de poids normal

Translated title of the contribution: Feasibility and fiability of laparoscopic surgery in the uterine cancers in normal-weight patients

C. Levêque, G. Ferron, A. Martinez, Arash Rafii Tabrizi, T. Filleron, D. Querleu

Research output: Contribution to journalArticle

Abstract

Objectives. - Evaluate the fiability and feasibility of laparoscopic surgery for the management of uterine cancers [endometrial cancer (EC) and early-stage cervical cancer (ESCC)] with patients who have a BMI ≤ 30 kg/m2, within the setting of a gynaecological oncology department. Patients and methods. - This retrospective, monocentric and descriptive study was carried out between January 2003 and May 2011 at the Institute Claudius-Regaud, a centre for cancer diagnosis, treatment and research. A policy promoting laparoscopy as a first choice treatment has been established at the institute since 2003. Results. - Two hundred and three patients were included. Eighty-five patients were early-stage cervical cancer patients and 118 patients were endometrial cancer patients. The study shows a high fiability rate for laparoscopy in non-obese patients, with a 98.8% rate for EC patients and a 98.8% rate for ESCC patients. The feasibility rates were 80.1% and 96.6%, respectively. The incidence of laparoconversion was reported at 1.2% and 3.1% for ESCC and EC patients, respectively, while the incidence of peroperative complications was 5.9% and 7.4%. The incidence of postoperative complications rank ≥ 3 according to ''Memorial secondary events grading system'' was 3 (3.5%) for CCUP and 3 (2.5%) for CE. Discussion and conclusion. - The results of this study show high fiability and feasibility levels for the laparoscopic treatment of uterine cancers in non-obese patients. There is no need to implement the more expensive robotic-assisted surgery in this group of patients. Mastering advanced laparoscopic surgery remains a mainstay in gynaecologic oncology.

Original languageFrench
Pages (from-to)668-673
Number of pages6
JournalGynecologie Obstetrique Fertilite
Volume42
Issue number10
DOIs
Publication statusPublished - 1 Oct 2014

Fingerprint

Uterine Neoplasms
Laparoscopy
Weights and Measures
Endometrial Neoplasms
Uterine Cervical Neoplasms
Incidence
Intraoperative Complications
Robotics

Keywords

  • Cervical cancer
  • Endometrial cancer
  • Feasibility
  • Fiability
  • Laparoscopy

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Faisabilité et fiabilité de la cœliochirurgie dans les cancers utérins chez les patientes de poids normal. / Levêque, C.; Ferron, G.; Martinez, A.; Tabrizi, Arash Rafii; Filleron, T.; Querleu, D.

In: Gynecologie Obstetrique Fertilite, Vol. 42, No. 10, 01.10.2014, p. 668-673.

Research output: Contribution to journalArticle

Levêque, C. ; Ferron, G. ; Martinez, A. ; Tabrizi, Arash Rafii ; Filleron, T. ; Querleu, D. / Faisabilité et fiabilité de la cœliochirurgie dans les cancers utérins chez les patientes de poids normal. In: Gynecologie Obstetrique Fertilite. 2014 ; Vol. 42, No. 10. pp. 668-673.
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abstract = "Objectives. - Evaluate the fiability and feasibility of laparoscopic surgery for the management of uterine cancers [endometrial cancer (EC) and early-stage cervical cancer (ESCC)] with patients who have a BMI ≤ 30 kg/m2, within the setting of a gynaecological oncology department. Patients and methods. - This retrospective, monocentric and descriptive study was carried out between January 2003 and May 2011 at the Institute Claudius-Regaud, a centre for cancer diagnosis, treatment and research. A policy promoting laparoscopy as a first choice treatment has been established at the institute since 2003. Results. - Two hundred and three patients were included. Eighty-five patients were early-stage cervical cancer patients and 118 patients were endometrial cancer patients. The study shows a high fiability rate for laparoscopy in non-obese patients, with a 98.8{\%} rate for EC patients and a 98.8{\%} rate for ESCC patients. The feasibility rates were 80.1{\%} and 96.6{\%}, respectively. The incidence of laparoconversion was reported at 1.2{\%} and 3.1{\%} for ESCC and EC patients, respectively, while the incidence of peroperative complications was 5.9{\%} and 7.4{\%}. The incidence of postoperative complications rank ≥ 3 according to ''Memorial secondary events grading system'' was 3 (3.5{\%}) for CCUP and 3 (2.5{\%}) for CE. Discussion and conclusion. - The results of this study show high fiability and feasibility levels for the laparoscopic treatment of uterine cancers in non-obese patients. There is no need to implement the more expensive robotic-assisted surgery in this group of patients. Mastering advanced laparoscopic surgery remains a mainstay in gynaecologic oncology.",
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