[Laparoscopic hysterectomy in the surgical treatment of gynecological malignant and premalignant diseases].
BACKGROUND
Laparoscopic hysterectomy (LH) is a safe surgical approach that offers patients a faster recovery. However, its use in malignant or premalignant gynecological lesions is not well established. The objective of the present study was to show the feasibility of LH in a tertiary cancer center.


METHODS
We conducted a descriptive analysis of patients with histologically proven malignant or premalignant uterine lesions who underwent to LH. Surgical time, bleeding complications, and hospital stay were evaluated.


RESULTS
Twenty-five patients were included with a mean age of 45 years. Ten LH (40%) with or without salpingo-oophorectomy for premalignant or preinvasive malignant lesions were done, five surgical staging procedures for endometrial cancer (20%) and seven radical hysterectomies for cervical cancer (28%). In three patients, conversion from laparotomy (12%) was necessary for operative complications (two cases) or technical problems (one case). Mean operative time for the entire group was 207 min, mean bleeding 204 mL and mean hospital stay was 2.5 days. Postoperative complications were present in two patients, hematoma in the vaginal cupola (one case) and temporary bladder dysfunction (one case).


CONCLUSIONS
In the present trial we described our initial experience in LH for the treatment of malignant and premalignant gynecologic diseases. Our results suggest that it is a safe and feasible surgical approach. Long-term surveillance studies are necessary for the evaluation of recurrence patterns and overall survival.
Maffuz-Aziz
Antonio
A
tonomaffuz@yahoo.com
Cortés-Martínez
Gustavo
G
Delgado-Ramírez
Ramón
R
Escudero-de los Ríos
Pedro
P
Quijano-Castro
Félix
F
López-Hernández
Daniel
D
D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D007813:Laparotomy; D007902:Length of Stay; D008875:Middle Aged; D010052:Ovariectomy; D011230:Precancerous Conditions / Q000601:surgery*; D012489:Salpingostomy; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*