LAPAROSCOPIC HUSTERECTOMY WITH A PELVIC LYMPHADENECTOMY, AS ALTERNATIVE LAPAROTOMY AT ENDOMETRIUM CANCER SURGERY
https://doi.org/10.18027/2224-5057-2016-4-41-47
Abstract
In gynecology department of oncologic institute of P. A. Herzen from July, 2010 to December, 2015, the laparoscopic hysterectomy with a pelvic lymphadenectomy concerning endometrial cancer of the I stage is executed at 210 women. Technology of operation is modified according to oncologic demands. Before installation of the uterine manipulator the main vessels participating in blood supply of a uterus for an operation ablastichnost were alloyed.
Average age of all patients made 55 ± 11,5 years. More than a half (64%) of patients had the excess body weight, or an obesity (BMI median = 27). Duration of operation varied from 105 to 305 minutes, averaged 167,3±43,1, a median 173 minutes. An average hemorrhage made 95 ml (a median of 65 ml). At 37,1% of patients (N=78) formation of lymphatic cysts is noted. The general duration of stay in a hospital made 9,8 ± 2,8 days, after operation – 6,9 ± 1,7 days. Thus, the postoperative period was characterized in general by a smooth current and the minimum of complications.
The laparoscopic hysterectomy with a pelvic lymphadenectomy can be considered as a safe alternative to classical laparotomy techniques.
About the Authors
S. V. Anpilogov
Р. Hertsen Moscow Oncology Research Institute - Branch of the National Medical Research Radiological Centre of the Ministry Of Health of the Russian Federation
Russian Federation
Anpilogov Sergey Vladimirovich – MD, PhD, research associate of office of gynecology MNIOI P. A. Herzen, Moscow
Russian Federation
Anpilogov Sergey Vladimirovich – MD, PhD, research associate of office of gynecology MNIOI P. A. Herzen, Moscow
A. S. Shevchuk
Р. Hertsen Moscow Oncology Research Institute - Branch of the National Medical Research Radiological Centre of the Ministry Of Health of the Russian Federation
Russian Federation
Russian Federation
Shevchuk Alexey Sergeyevich – MD, PhD, leading researcher of office of gynecology MNIOI P. A. Herzen, Moscow
E. G. Novikova
Р. Hertsen Moscow Oncology Research Institute - Branch of the National Medical Research Radiological Centre of the Ministry Of Health of the Russian Federation
Russian Federation
Russian Federation
Novikova Elena Grigoryevna – MD, PhD, DSc, Professor, the head of office of gynecology MNIOI P. A. Herzen, Moscow
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Review
For citations:
Anpilogov S.V., Shevchuk A.S., Novikova E.G. LAPAROSCOPIC HUSTERECTOMY WITH A PELVIC LYMPHADENECTOMY, AS ALTERNATIVE LAPAROTOMY AT ENDOMETRIUM CANCER SURGERY. Malignant tumours. 2016;(4):41-47. (In Russ.) https://doi.org/10.18027/2224-5057-2016-4-41-47
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