Safety and Feasibility of Laparoscopic Staging in Endometrial Cancer

Abstract

Introduction: Surgical staging in endometrial cancer is part of the study to determine tumor extent.
Objective: To describe the safety and feasibility of laparoscopic staging in endometrial cancer.
Methods: A descriptive, prospective, observational study was conducted in 70 patients with endometrial cancer, who were staged by laparoscopic surgery according to the rules of the American Joint Committee on Cancer and the International Federation of Gynecology in the period between February 1, 2012 and November 30, 2017 at the National Center for Minimally Invasive Surgery in Havana, Cuba.
Results: The mean age was 63 years. The mean surgical time and blood loss was 201 minutes and 79.3 milliliters, respectively. The mean number of pelvic nodes was 16.9 and 3.7para-aortic nodes were removed. No patient had complications and there were no complications that led to conversion to laparotomy. The hospital stay was between 24 and 48 hours.
Conclusions: Laparoscopic staging in endometrial cancer is a feasible and safe technique, which enables pelvic lymph node dissection, reduction of surgical time, intraoperative bleeding, intra and postoperative complications, and decreased hospital stay.