Laparoscopic conversion rate for uterine cancer surgical staging

James Fanning, Carrie Hossler

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: To estimate the conversion rate of attempted laparoscopic staging for primary endometrial adenocarcinoma. Methods: Two hundred thirty-five consecutive patients with primary endometrial adenocarcinoma underwent attempted laparoscopic staging regardless of age, body mass index (BMI, calculated as weight (kg)/[height (m)]), uterine size, and prior surgery. No patients were excluded. Results: Mean BMI was 39 (range, 22-77), and 85 patients (36%) had a BMI higher than 40 kg/m. Mean blood loss was 162 mL (range, 25-1850 mL), mean operating room time was 2 hours (range, 1-4 hours 20 minutes), and mean hospital stay was 1 day (range, 1-4 days). There were six conversions (3%) to laparotomy or vaginal hysterectomy, all occurring in patients with a BMI higher than 40; mean BMI of conversions was 66 (range, 55-77). Conclusion: Of 235 consecutive cases of attempted laparoscopic staging for primary endometrial adenocarcinoma, conversion to laparotomy or vaginal hysterectomy occurred in 3% of the total patients and 7% in patients with a BMI of 40 or higher.

Original languageEnglish (US)
Pages (from-to)1354-1357
Number of pages4
JournalObstetrics and gynecology
Volume116
Issue number6
DOIs
StatePublished - Dec 1 2010

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Uterine Neoplasms
Neoplasm Staging
Vaginal Hysterectomy
Adenocarcinoma
Laparotomy
Operating Rooms
Length of Stay
Body Mass Index
Weights and Measures

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

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title = "Laparoscopic conversion rate for uterine cancer surgical staging",
abstract = "Objective: To estimate the conversion rate of attempted laparoscopic staging for primary endometrial adenocarcinoma. Methods: Two hundred thirty-five consecutive patients with primary endometrial adenocarcinoma underwent attempted laparoscopic staging regardless of age, body mass index (BMI, calculated as weight (kg)/[height (m)]), uterine size, and prior surgery. No patients were excluded. Results: Mean BMI was 39 (range, 22-77), and 85 patients (36{\%}) had a BMI higher than 40 kg/m. Mean blood loss was 162 mL (range, 25-1850 mL), mean operating room time was 2 hours (range, 1-4 hours 20 minutes), and mean hospital stay was 1 day (range, 1-4 days). There were six conversions (3{\%}) to laparotomy or vaginal hysterectomy, all occurring in patients with a BMI higher than 40; mean BMI of conversions was 66 (range, 55-77). Conclusion: Of 235 consecutive cases of attempted laparoscopic staging for primary endometrial adenocarcinoma, conversion to laparotomy or vaginal hysterectomy occurred in 3{\%} of the total patients and 7{\%} in patients with a BMI of 40 or higher.",
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Laparoscopic conversion rate for uterine cancer surgical staging. / Fanning, James; Hossler, Carrie.

In: Obstetrics and gynecology, Vol. 116, No. 6, 01.12.2010, p. 1354-1357.

Research output: Contribution to journalArticle

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AU - Hossler, Carrie

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AB - Objective: To estimate the conversion rate of attempted laparoscopic staging for primary endometrial adenocarcinoma. Methods: Two hundred thirty-five consecutive patients with primary endometrial adenocarcinoma underwent attempted laparoscopic staging regardless of age, body mass index (BMI, calculated as weight (kg)/[height (m)]), uterine size, and prior surgery. No patients were excluded. Results: Mean BMI was 39 (range, 22-77), and 85 patients (36%) had a BMI higher than 40 kg/m. Mean blood loss was 162 mL (range, 25-1850 mL), mean operating room time was 2 hours (range, 1-4 hours 20 minutes), and mean hospital stay was 1 day (range, 1-4 days). There were six conversions (3%) to laparotomy or vaginal hysterectomy, all occurring in patients with a BMI higher than 40; mean BMI of conversions was 66 (range, 55-77). Conclusion: Of 235 consecutive cases of attempted laparoscopic staging for primary endometrial adenocarcinoma, conversion to laparotomy or vaginal hysterectomy occurred in 3% of the total patients and 7% in patients with a BMI of 40 or higher.

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