Surgically managed stage I endometrial cancer in a low-volume center: outcomes and complications in a military residency program.

Academic Article

Abstract

  • OBJECTIVE: The purpose of this study was to compare operative outcomes and complications for patients with endometrial cancer who underwent staging by laparoscopy vs laparotomy in a low-volume facility. STUDY DESIGN: Research was conducted with a retrospective cohort of surgical patients with clinical stage I endometrial cancer from 2004-2009. RESULTS: Eighty-six demographically similar patients (50 laparotomy and 36 laparoscopy) were identified. Laparoscopy had less estimated blood loss (339 vs 558 mL; P = .013) and lower rates of transfusion (5.6% vs 24%; P = .02). Laparoscopy was longer (281 vs 202 minutes; P < .0005) but required a shorter hospital stay (2.2 vs 5.5 days; P < .0005). Laparoscopy patients had fewer overall complications (16.7% vs 32%; P = .11). No differences in final surgical stage or lymph node yields between the groups were present. CONCLUSION: Although a longer procedure, laparoscopy had fewer complications and shorter hospital stays. Prolonged operative time, compared with published experience, is potentially the result of unique factors in our center.
  • Keywords

  • Adult, Aged, Aged, 80 and over, Endometrial Neoplasms, Female, Humans, Internship and Residency, Laparoscopy, Laparotomy, Middle Aged, Military Medicine, Neoplasm Staging, Postoperative Complications, Retrospective Studies
  • Digital Object Identifier (doi)

    Author List

  • Reed BG; Lowery WJ; Keyser EA; Kost ER; Sundborg MJ; Winter WE; Landt C; Leath CA
  • Start Page

  • 356.e1
  • End Page

  • 356.e5
  • Volume

  • 205
  • Issue

  • 4