학술논문
A retrospective study on feasibility and safety of laparoscopic surgery for endometrial cancer / 子宮体癌に対する腹腔鏡下手術のfeasibilityに関する後方視的検討
Document Type
Journal Article
Author
Hironori Asada; Hirotaka Nakamura; Hiroto Tajima; Hitomi Tsukada; Keiko Sasaki; Mitsuaki Suzuki; Miwa Sato; Satoshi Asai; Satsuki Okuno; Shuichiro Hara; Shuji Takemoto; Takako Mashiko; Takashi Nagai; Wakana Beck; Yasunori Yoshimura; Yukiko Mukouda; 中村 浩敬; 佐々木 恵子; 佐藤 美和; 別宮 若菜; 原 周一郎; 吉村 泰典; 向田 幸子; 塚田 ひとみ; 奥野 さつき; 永井 崇; 浅井 哲; 浅田 弘法; 田島 博人; 益子 尚子; 竹本 周二; 鈴木 光明
Source
日本産科婦人科内視鏡学会雑誌 / JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY. 2017, 33(2):134
Subject
Language
Japanese
ISSN
1884-5746
1884-9938
1884-9938
Abstract
Results: All patients had a pathologically confirmed endometrial cancer before the surgery, and their median age was 56 years. Of these, 57 patients underwent total laparoscopic hysterectomy (TLH) and bilateral salpingo-oophorectomy (BSO), and 34 patients underwent lymph node dissection in addition to TLH and BSO. After the surgery, histological examination showed that 78% of cases were high-grade endometrioid adenocarcinoma and 69.2% were the International Federation of Gynecology and Obstetrics (FIGO) stage IA. No case needed conversion to laparotomy or blood transfusion. Based on the Common Terminology Criteria for Adverse Events, complications with grade 3 or more were seen in 6.6% of patients intra-operatively, including venous and nerve injury, and seen in 6.6% of patients post-operatively, including ileus and pelvic abscess. During the follow up period (median of 23 months), 5 patients experienced recurrence, and no patient died of cancer. The rate of complications, number of harvested lymph nodes, and rate of good prognosis of our patients were not lower than that reported by previous studies.