Archives of Gynecology and Obstetrics

, 279:655

Feasibility and morbidity of total laparoscopic radical hysterectomy with or without pelvic limphadenectomy in obese women with stage I endometrial cancer

Authors

  • Antonio Pellegrino
    • Clinica Ostetrica e Ginecologica, Division of Gynecologic Oncology, Ospedale San GerardoUniversity of Milan-Bicocca
  • Mauro Signorelli
    • Clinica Ostetrica e Ginecologica, Division of Gynecologic Oncology, Ospedale San GerardoUniversity of Milan-Bicocca
    • Clinica Ostetrica e Ginecologica, Division of Gynecologic Oncology, Ospedale San GerardoUniversity of Milan-Bicocca
  • Annalisa Villa
    • Clinica Ostetrica e Ginecologica, Division of Gynecologic Oncology, Ospedale San GerardoUniversity of Milan-Bicocca
  • Alessandro Buda
    • Clinica Ostetrica e Ginecologica, Division of Gynecologic Oncology, Ospedale San GerardoUniversity of Milan-Bicocca
  • Pietro Beretta
    • Clinica Ostetrica e Ginecologica, Division of Gynecologic Oncology, Ospedale San GerardoUniversity of Milan-Bicocca
  • Annalisa Garbi
    • Clinica Ostetrica e Ginecologica, Division of Gynecologic Oncology, Ospedale San GerardoUniversity of Milan-Bicocca
  • Domenico Vitobello
    • Clinica Ostetrica e Ginecologica, Division of Gynecologic Oncology, Ospedale San GerardoUniversity of Milan-Bicocca
Original Article

DOI: 10.1007/s00404-008-0790-5

Cite this article as:
Pellegrino, A., Signorelli, M., Fruscio, R. et al. Arch Gynecol Obstet (2009) 279: 655. doi:10.1007/s00404-008-0790-5

Abstract

Objective

The aim of this study was to describe the feasibility and morbidity rates associated with total laparoscopic radical hysterectomy (TLRH) with or without pelvic lymphadenectomy for stage I endometrial cancer in obese women.

Patients and methods

Obese patients with stage I endometrial cancer who underwent total laparoscopic radical surgery at the Department of Obstetrics and Gynecology of San Gerardo Hospital were compared to nonobese patients. The same group of obese patients was compared with patients who underwent radical laparotomic surgery. Obesity was defined as a body mass index more than 30 kg/m2.

Results

Between September 2003 and September 2007, 75 women underwent TLRH. Median age was 54 years and median body mass index was 28 kg/m2. Thirty-seven women were obese.

There were no differences between nonobese and obese women in operative, time length of parametria and pelvic nodes removed and operative or late complications. Blood loss was significantly higher in obese patients.

Comparing retrospectively laparoscopy and laparotomy in obese women treated in our center, laparotomy was associated with decreased operative time, but also with increased blood loss, transfusion rate, duration of hospitalization and frequency of post surgical complications.

Conclusions

Total laparoscopic radical hysterectomy (with pelvic lymphadenectomy) is a safe option in patients with endometrial cancer. Obesity is not a contraindication to perform a TRLH with no differences in surgical parameters between obese and nonobese population. TLRH show a significant decrease of complications compared to laparotomic radical surgery in obese women.

Keywords

Laparoscopy Endometrial cancer Obesity TLRH

Copyright information

© Springer-Verlag 2008