Comparison of laparoscopic and open surgery in obese patients with endometrial cancer

Ceren Sancar; Nuri Yıldırım; Ahmet Bılgı; Sevki Gokulu; Levent Akman; Mustafa Coşan Terek; Ahmet Aydın Özsaran

doi:10.19161/etd.1125610

EN TR

Comparison of laparoscopic and open surgery in obese patients with endometrial cancer

Abstract

Aim: The aim of the study is to compare the results of total laparoscopic hysterectomy and total abdominal hysterectomy in obese women with endometrial cancer (EC).

Materials and Methods: Patients with endometrial cancer whose BMI ≥30 kg/m2 and who were undergone total laparoscopic hysterectomy (n=68) or total abdominal hysterectomy (n=161) were included in the study. Demographic and histopathological features, disease-free survival and overall survival of the patients were recorded. All these data of laparoscopy and laparotomy patients were compared with each other.

Results: No significant difference was observed between two groups in terms of stage, tumor grade, histology, lymph node dissection rate and number of removed lymph nodes. Cardiovascular diseases were more common in laparotomy group (p=0.002). ASA (American Society of Anesthesiologists) score was higher in laparotomy group (p=0.001). Perioperative and postoperative complications were similar in both groups. The operation time was significantly longer and postoperative hospital stay was significantly shorter in the laparoscopy group (p<0.0001). There was no significant difference between two groups in disease-free survival and overall survival. The overall survival rate was 90.7% in the laparoscopy group and 95.1% in the laparotomy group (p = 0.789).

Conclusion: Our results showed that in obese patients with EC, laparoscopy had similar oncological outcomes with laparotomy and was also more beneficial for patients in terms of a shorter hospital stay.

Keywords

Endometrium kanserli obez hastalarda laparoskopik ve açık cerrahinin karşılaştırılması

Öz

Amaç: Çalışmanın amacı endometrial kanserli obez hastalarda total laparoskopik histerektomi ve total abdominal histerektomi sonuçlarının karşılaştırılmasıdır.

Gereç ve Yöntem: Vücut kitle oranı ≥30 kg/m2 olan endometrial kanserli hastalardan total laparoskopik histerektomi (n=68) ve total abdominal histerektomi (n=161) uygulanmış olanlar çalışmaya dahil edildi. Hastaların demografik ve histopastolojik özellikleri, hastalıksız sağ kalım ve toplam sağ kalım süreleri kaydedildi. Laparoskopi ve laparotomi grubunun verileri birbirleri ile karşılaştırıldı.

Bulgular: k grup arasında, evre, tümör derecesi, histoloji, lenf nodu diseksiyonu yapılma oranı ve çıkarılan lenf nodu sayısı açısından anlamlı fark görülmedi. ard yovasküler hastalıklar laparotom grubunda belirgin fazla izlendi (p=0,002). ASA (Amerikan Anestezistler Derneği) skoru laparotomi grubunda daha yüksek idi (p=0,001). Peroperatif ve postoperatif komplikasyonlar laparotomi ve laparoskopi gruplarında benzer idi. Laparatomi grubunda; operasyon süresi belirgin kısa iken, postoperatif hastanede yatış süres laparoskop grubuna göre belirgin artmış idi (p<0,0001). ki grup arasında hastalıksız sağ kalım ve genel sağ kalım süreler açısından bel rg n fark saptanmadı. Laparoskop grubunda genel sağ kalım %90,7 iken, laparotomi grubunda %95,1 saptandı (p=0,789).

Sonuç: Sonuçlarımız endometrial kanserli obez hastalarda laparoskopinin laparotomi ile benzer onkolojik sonuçlara sahip olmakla birlikte hastanede kalış süresindeki kısalık ile hastalar için daha konforlu olduğunu gösterdi.

Anahtar Kelimeler

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Ceren Sancar ^*
0000-0003-4275-3329
Türkiye

Nuri Yıldırım
0000-0002-0605-4750
Türkiye

Ahmet Bılgı
0000-0001-8682-1739
Türkiye

Sevki Gokulu
0000-0002-6581-5716
Türkiye

Levent Akman
0000-0001-9399-8049
Türkiye

Mustafa Coşan Terek
0000-0002-0294-2857
Türkiye

Ahmet Aydın Özsaran
0000-0002-4330-0228
Türkiye

Publication Date

June 13, 2022

Submission Date

May 1, 2021

Acceptance Date

December 7, 2021

Published in Issue

Year 2022 Volume: 61 Number: 2

DOI

https://doi.org/10.19161/etd.1125610

IZ

https://izlik.org/JA52HM46BS

Cite

RIS / Bibtex

Vancouver

1.Ceren Sancar, Nuri Yıldırım, Ahmet Bılgı, Sevki Gokulu, Levent Akman, Mustafa Coşan Terek, Ahmet Aydın Özsaran. Comparison of laparoscopic and open surgery in obese patients with endometrial cancer. EJM. 2022 Jun. 1;61(2):177-83. doi:10.19161/etd.1125610