title: [Laparoscopic surgery for endometrial cancer in overweight women].
abstract: OBJECTIVE
  The aim of this study was to investigate the feasibility and safety of laparoscopic staging of overweight women with endometrial cancer and to compare the surgical outcomes among these patients with those managed by laparotomy.
  
  
  METHODS
  This was a retrospective analysis (Canadian Task-force Classification II-3). We reviewed operative and hospital records of 70 patients with a body mass index >25 kg/m2 who underwent surgical treatment for endometrial cancer between 2001 and 2008. Thirty-five patients treated laparoscopically were compared to an equivalent group of patients treated by laparotomy. Operative and postoperative variables were afterwards assessed.
  
  
  RESULTS
  Women in laparoscopic group had a significantly lower blood loss (median, 25th-75th percentiles: 1.2, 0.8-2.0 in laparoscopic versus 1.8, 1.0-2.8 in laparotomic group, P<0.05). No differences between both group in terms of operative time (median, 25th-75th percentiles: 165 min, 130-183 in laparoscopic versus 135 min, 110-170 in laparotomic; P>0.05) and mean number of pelvic and para-aortic lymph nodes removed (22 ± 8.4 versus 24 ± 6.2 and 9.2 ± 2.5 versus 9.3 ± 5 respectively; P>0.05). Length of urethral catheter and hospital stay were statistically higher in laparotomic group (two days versus three days; four days versus seven days respectively; P<0.05).
  
  
  CONCLUSIONS
  Laparoscopic surgery in overweight women with endometrial cancer had equivalent surgical staging than women operated by laparotomy. With regard to postsurgical variables, overweight women who underwent laparoscopic surgery had better results than those treated by laparotomy.
authors: Centro di Chirurgia, Ginecologica Mini-invasiva, Unità di Ginecolocia e Medicina Riproduttiva Ospedale S. Orsola-Malpighi, Università di Bologna, Italia. renato.seracchioli@aosp.bo.it
authors: R
authors: R
authors: Seracchioli
authors: M
authors: M
authors: Mabrouk
authors: P
authors: P
authors: De Iaco
authors: C
authors: C
authors: Facchini
authors: C
authors: C
authors: Vicenzi
authors: N
authors: N
authors: Di Donato
authors: G
authors: G
authors: Montanari
authors: S
authors: S
authors: Venturoli
mesh_terms: D016889:Endometrial Neoplasms / Q000150:complications* / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008875:Middle Aged; D050177:Overweight / Q000150:complications*; D012189:Retrospective Studies