8277
document
Laparoscopically assisted vaginal hysterectomy versus abdominal hysterectomy in stage I endometrial cancer . The purpose of this study was to evaluate and compare laparoscopic treatment for stage I endometrial cancer with the traditional transabdominal approach . From July 1996 to July 1998 , 61 patients with clinical stage I endometrial cancer were treated at the Gynaecology Oncology Unit at the Royal North Shore of Sydney , Australia . Twenty-nine patients were treated with laparoscopic assisted vaginal hysterectomy ( LAVH ) and bilateral salpingo-oophrectomy ( BSO ) plus minus laparoscopic pelvic lymphadenectomy ( LPLA ) , while 32 patients were treated with the traditional laparotomy and underwent total abdominal hysterectomy ( TAH ) and BSO plus minus pelvic lymphadenectomy ( PLA ) . The main outcomes studied were operative time , blood loss , blood transfusion , intraoperative complications , postoperative complications , duration of hospital stay , and number of lymph nodes obtained . In conclusion , laparoscopic treatment of endometrial cancer is safe in the hands of experienced operators with minimal intraoperative and postoperative complications . This procedure is associated with significantly less blood loss and shorter hospitalization ; however , it is associated with significantly longer operating time . Proper selection of patients for the laparoscopic procedure is the vital step in achieving the major goals of this approach .
8278
Intervention_Physical
Laparoscopically assisted vaginal hysterectomy
8279
Intervention_Physical
abdominal hysterectomy
8280
Intervention_Physical
laparoscopic treatment
8281
Intervention_Physical
traditional transabdominal approach
8282
Intervention_Surgical
laparoscopic assisted vaginal hysterectomy ( LAVH ) and bilateral salpingo-oophrectomy ( BSO ) plus minus laparoscopic pelvic lymphadenectomy ( LPLA )
8283
Intervention_Surgical
laparotomy
8284
Intervention_Surgical
total abdominal hysterectomy ( TAH )
8285
Intervention_Surgical
pelvic lymphadenectomy
8286
Intervention_Physical
laparoscopic treatment
8287
Intervention_Physical
laparoscopic procedure
8288
Outcome_Other
operative time
8289
Outcome_Physical
blood loss
8290
Outcome_Other
blood transfusion
8291
Outcome_Adverse-effects
intraoperative complications
8292
Outcome_Adverse-effects
postoperative complications
8293
Outcome_Other
duration of hospital stay
8294
Outcome_Other
number of lymph nodes
8295
Outcome_Adverse-effects
blood loss
8296
Outcome_Other
hospitalization
8297
Outcome_Other
operating time
8298
Participant_Condition
stage I endometrial cancer
8299
Participant_Condition
stage I endometrial cancer
8300
Participant_Sample-size
61
8301
Participant_Condition
stage I endometrial cancer
8302
Participant_Sample-size
Twenty-nine
8303
Participant_Condition
laparoscopic assisted vaginal hysterectomy
8304
Participant_Condition
LAVH
8305
Participant_Condition
bilateral salpingo-oophrectomy
8306
Participant_Condition
BSO
8307
Participant_Condition
laparoscopic pelvic lymphadenectomy
8308
Participant_Condition
LPLA
8309
Participant_Sample-size
32