title: Total laparoscopic hysterectomy as a primary surgical treatment for endometrial cancer in morbidly obese women.
abstract: To evaluate the feasibility of total laparoscopic hysterectomy as the primary treatment for endometrial cancer in morbidly obese women, an audit was carried out during an 18-month period in a tertiary referral centre for gynaecological oncology. Four women who had laparoscopic surgery were compared with a similar cohort who had open surgery. The mean operating time was equivalent, without evidence of excess morbidity with the laparoscopic approach. However, inpatient stay was longer with open versus laparoscopic surgery (11.5 vs 4 days). Laparoscopic surgery is safe to use in morbidly obese women with endometrial cancer.
authors.affiliation: Elizabeth Garrett Anderson and Obstetric Hospital, University College London Hospitals NHS Trust, UK.
authors.forename: C K H
authors.initials: CK
authors.lastname: Yu
authors.forename: A
authors.initials: A
authors.lastname: Cutner
authors.forename: T
authors.initials: T
authors.lastname: Mould
authors.forename: A
authors.initials: A
authors.lastname: Olaitan
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D016889:Endometrial Neoplasms / Q000150:complications / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007431:Intraoperative Complications / Q000209:etiology; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008485:Medical Audit; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications*; D011446:Prospective Studies