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 language | French |
|---|---|
| Pages (from-to) | 668-673 |
| Number of pages | 6 |
| Journal | Gynecologie Obstetrique Fertilite |
| Volume | 42 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - 1 Oct 2014 |
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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 journal › Article
}
TY - JOUR
T1 - Faisabilité et fiabilité de la cœliochirurgie dans les cancers utérins chez les patientes de poids normal
AU - Levêque, C.
AU - Ferron, G.
AU - Martinez, A.
AU - Tabrizi, Arash Rafii
AU - Filleron, T.
AU - Querleu, D.
PY - 2014/10/1
Y1 - 2014/10/1
N2 - 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.
AB - 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.
KW - Cervical cancer
KW - Endometrial cancer
KW - Feasibility
KW - Fiability
KW - Laparoscopy
UR - http://www.scopus.com/inward/record.url?scp=84908066918&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84908066918&partnerID=8YFLogxK
U2 - 10.1016/j.gyobfe.2014.08.002
DO - 10.1016/j.gyobfe.2014.08.002
M3 - Article
C2 - 25245841
AN - SCOPUS:84908066918
VL - 42
SP - 668
EP - 673
JO - Gynecologie Obstetrique Fertilite et Senologie
JF - Gynecologie Obstetrique Fertilite et Senologie
SN - 2468-7197
IS - 10
ER -