Single-access laparoscopic approach in the surgical treatment of endometrial cancer: A single-institution experience and review of literature.
BACKGROUND
The aim of this study was to assess the surgical and oncological outcome for the management of endometrial cancer (EC) by laparoendoscopic single-site surgery (LESS).


METHODS
We performed a retrospective chart review of patients who underwent a LESS for EC. All the patients were treated by the same surgical team between July 2009 and June 2013 at the Gynaecologic Oncologic Unit, Regina Elena National Cancer Institute, Rome, Italy.


RESULTS
A total of 50 women were included, with a median age of 45 years (range, 39-84 years) and a median body mass index (BMI) of 21.8 kg/m2 (range, 19-48 kg/m2). Median operative time was 100 min (range, 50-240 min), median blood loss was 90 mL (range, 10-300 mL) and median hospital stay was 3 days (range, 2-9 days). The median number of pelvic lymph nodes retrieved was 14 (range, 5-20). No intraoperative complications occurred, but there were 4 postoperative complications. Two patients required a laparoscopic conversion. The median follow-up was 36 months (range, 16-62 months) and no recurrence occurred.


CONCLUSIONS
Our report showed that the LESS approach in the treatment of early EC can be a safe and reliable technique in terms of surgical and oncological outcomes.
Department of Surgical Oncology, Gynecologic Oncology Unit, "Regina Elena" National Cancer Institute, Rome, Italy.
Giacomo
G
Corrado
Department of Surgical Oncology, Gynecologic Oncology Unit, "Regina Elena" National Cancer Institute, Rome, Italy.
Giuseppe
G
Cutillo
Department of Surgery, Section of Gynaecology and Obstetrics, Tor Vergata University, Rome, Italy.
Giulia
G
Pomati
Department of Surgical Oncology, Gynecologic Oncology Unit, "Regina Elena" National Cancer Institute, Rome, Italy.
Emanuela
E
Mancini
Department of Surgical Oncology, Gynecologic Oncology Unit, "Regina Elena" National Cancer Institute, Rome, Italy.
Ermelinda
E
Baiocco
Department of Surgery, Section of Gynaecology and Obstetrics, Tor Vergata University, Rome, Italy.
Lodovico
L
Patrizi
Department of Surgery, Section of Gynaecology and Obstetrics, Tor Vergata University, Rome, Italy.
Maria
M
Saltari
Department of Surgery, Gynecology and Obstetrics Unit, San Giovanni Hospital, Rome, Italy.
Francesco
F
Barletta
Department of Surgery, Section of Gynaecology and Obstetrics, Tor Vergata University, Rome, Italy.
Fabiola
F
Patani
Department of Surgical Oncology, Gynecologic Oncology Unit, "Regina Elena" National Cancer Institute, Rome, Italy.
Enrico
E
Vizza