title: [Laparoscopically assisted vaginal hysterectomy in preoperative and peroperative assessment of stage I endometrial cancer].
abstract: OBJECTIVE
  The aim of this study was to evaluate the feasibility and safety of laparoscopically assisted vaginal hysterectomy (with and without pelvic lymphadenectomy) in the staging and treatment of stage I endometrioid endometrial cancer.
  
  
  METHODS
  A prospective series of consecutive patients with primary operable endometrial cancer referred to Odense University Hospital between 01.01.2006 and 31.03.2007. All patients were evaluated and a laparoscopic treatment was planned when considered appropriate.
  
  
  RESULTS
  72 consecutive patients with primary operable endometrial cancer were included in the study. 35 patients (48%) were successfully treated with a laparoscopically assisted vaginal hysterectomy. 12 (34%) of them were also treated with a pelvic lymphadenectomy. The median number of lymph nodes removed was 15 (range 10-32). The median operating time was 80 minutes (60-180) without lymphadenectomy and 140 (105-200) minutes with lymphadenectomy. No intraoperative or serious postoperative complications were registered. 26 (74%) out of 35 patients treated by laparoscopy were discharged on the first or second postoperative day.
  
  
  CONCLUSIONS
  We conclude that laparoscopically assisted vaginal hysterectomy is a safe and effective alternative to laparotomy in the staging and treatment of stage I endometrioid endometrial cancer.
authors.affiliation: Odense Universitetshospital, Gynaekologisk-obstetrisk Afdeling D, Odense C.
authors.forename: Koen
authors.initials: K
authors.lastname: Traen
authors.forename: Danny
authors.initials: D
authors.lastname: Svane
authors.forename: Niels
authors.initials: N
authors.lastname: Kryger-Baggesen
authors.forename: Ole
authors.initials: O
authors.lastname: Mogensen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000379:methods*; D007430:Intraoperative Care; D010535:Laparoscopy; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D011300:Preoperative Care; D011446:Prospective Studies