title: [Feasibility and fiability of laparoscopic surgery in the uterine cancers in normal-weight patients].
abstract: OBJECTIVE
  Evaluate the fiability and feasibility of laparoscopic surgery for the management of uterine cancers [endometrial cancer (EC) and early-stage cervical cancer (ESCC)] with patients who have a BMI ≤ 30 kg/m(2), within the setting of a gynaecological oncology department.
  
  
  METHODS
  This retrospective, monocentric and descriptive study was carried out between January 2003 and May 2011 at the Institute Claudius-Regaud, a centre for cancer diagnosis, treatment and research. A policy promoting laparoscopy as a first choice treatment has been established at the institute since 2003.
  
  
  RESULTS
  Two hundred and three patients were included. Eighty-five patients were early-stage cervical cancer patients and 118 patients were endometrial cancer patients. The study shows a high fiability rate for laparoscopy in non-obese patients, with a 98.8% rate for EC patients and a 98.8% rate for ESCC patients. The feasibility rates were 80.1% and 96.6%, respectively. The incidence of laparoconversion was reported at 1.2% and 3.1% for ESCC and EC patients, respectively, while the incidence of peroperative complications was 5.9% and 7.4%. The incidence of postoperative complications rank ≥ 3 according to "Memorial secondary events grading system" was 3 (3.5%) for CCUP and 3 (2.5%) for CE.
  
  
  CONCLUSIONS
  The results of this study show high fiability and feasibility levels for the laparoscopic treatment of uterine cancers in non-obese patients. There is no need to implement the more expensive robotic-assisted surgery in this group of patients. Mastering advanced laparoscopic surgery remains a mainstay in gynaecologic oncology.
authors.affiliation: Institut Claudius-Rigaud, 20-24, rue du pont Saint-Pierre, 31052 Toulouse, France. Electronic address: christinengo8@hotmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Levêque
authors.affiliation: Institut Claudius-Rigaud, 20-24, rue du pont Saint-Pierre, 31052 Toulouse, France.
authors.forename: G
authors.initials: G
authors.lastname: Ferron
authors.affiliation: Institut Claudius-Rigaud, 20-24, rue du pont Saint-Pierre, 31052 Toulouse, France.
authors.forename: A
authors.initials: A
authors.lastname: Martinez
authors.affiliation: Department of Genetic Medicine, Weill Cornell Medical College, Doha, Qatar.
authors.forename: A
authors.initials: A
authors.lastname: Rafii
authors.affiliation: Institut Claudius-Rigaud, 20-24, rue du pont Saint-Pierre, 31052 Toulouse, France.
authors.forename: T
authors.initials: T
authors.lastname: Filleron
authors.affiliation: Institut Claudius-Rigaud, 20-24, rue du pont Saint-Pierre, 31052 Toulouse, France.
authors.forename: D
authors.initials: D
authors.lastname: Querleu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001835:Body Weight; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D010535:Laparoscopy; D007902:Length of Stay; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery*
keywords: Cancer de l’endomètre; Cancer du col utérin; Cervical cancer; Cœlioscopie; Endometrial cancer; Faisabilité; Feasibility; Fiability; Fiabilité; Laparoscopy