Laparoscopic surgery in obese women with endometrial cancer.
OBJECTIVE
To analyze perioperative and postoperative outcomes of laparoscopic treatment of endometrial cancer in two groups of women of different weight.


METHODS
Prospective, multicenter clinical study (Canadian Task Force classification II-1).


METHODS
Three laparoscopic oncology centers.


METHODS
Sixty-five consecutive women with endometrial cancer, of whom 32 were not obese (weight <81. 7 kg) and 33 were obese (weight (3)81.7 kg, body mass index 30-40).


METHODS
Laparoscopic surgery.


RESULTS
Three patients (1 nonobese, 2 obese) in whom laparoscopy was converted to laparotomy were removed from data analysis. Laparoscopy in the remaining 62 (94.38%) was completed successfully. Hysterectomy and pelvic and paraaortic lymphadenectomies were performed based on tumor grade and depth of myometrial invasion. In both groups, 28 women underwent pelvic lymphadenectomy and 21 paraaortic lymph node dissection or sampling. Eight patients had metastases in pelvic or paraaortic nodes. Deep myometrial invasion over 50% was present in five obese and two nonobese women. Mean operating time was 166 and 172 minutes, respectively. The rate of major complications and conversions was higher in the obese group (8 vs 5).


CONCLUSIONS
Laparoscopic surgery is feasible in obese women and may also be considered for endometrial cancer, which typically occurs in obese women.
Holub
Z
Z
Department of Obstetrics, Endoscopic Training Centre, Vancurova Street 1548, 272 59 Klando, Czech Republic.
Bartös
P
P
Jabor
A
A
Eim
J
J
Fischlová
D
D
Kliment
L
L
D015992:Body Mass Index; D016889:Endometrial Neoplasms / Q000150:complications / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D007902:Length of Stay; D008197:Lymph Node Excision; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009765:Obesity / Q000150:complications; D011446:Prospective Studies; D016896:Treatment Outcome