title: Novel technique for the complete staging of endometrial cancer by single-port laparoscopy.
abstract: OBJECTIVE
  Our aim was to evaluate the feasibility of a novel technique using single-port laparoscopy for the complete surgical staging of endometrial cancer.
  
  
  METHODS
  Total hysterectomy, bilateral salpingo-oophorectomy, pelvic lymphadenectomy and para-aortic lymphadenectomy was performed using a single-port device in two steps: first, a retroperitoneal para-aortic dissection was conducted, followed by a transperitoneal pelvic lymphadenectomy and a total hysterectomy. Conventional laparoscopic instruments were used in all cases. Perioperative details were collected.
  
  
  RESULTS
  Four consecutive patients with endometrial cancer underwent single-port laparoscopic staging procedure. All cases were high-risk endometrial cancers (two FIGO stage IA and two IB). Histologic types included three adenocarcinomas and one carcinosarcoma. The median operating time was 280min (ranged 240-320min), and the median length of stay was 3.5days (ranged 3-6days). No complications or conversion to conventional multiport laparoscopy were reported.
  
  
  CONCLUSIONS
  Single-port laparoscopic surgical staging for endometrial cancer is a feasible procedure, even when the procedure included a para-aortic lymph node dissection.
authors.affiliation: Gynecologic Oncology Unit, La Paz University Hospital - IdiPAZ, Madrid, Spain. Electronic address: ignaciozapardiel@hotmail.com.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Zapardiel
authors.affiliation: Gynecologic Oncology Unit, La Paz University Hospital - IdiPAZ, Madrid, Spain.
authors.forename: Estefanía
authors.initials: E
authors.lastname: Moreno
authors.affiliation: Gynecologic Oncology Unit, La Paz University Hospital - IdiPAZ, Madrid, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Piñera
authors.affiliation: Gynecologic Oncology Unit, La Paz University Hospital - IdiPAZ, Madrid, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: De Santiago
mesh_terms: D000368:Aged; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009367:Neoplasm Staging
keywords: Endometrial cancer; Laparoscopy; Single-port; Surgical staging