Descripción del abordaje laparoscópico versus laparotomía para el manejo de cáncer endometrial en Hospital de San José - Bogota, Colombia
Sanabria Serrano, Daniel Eduardo | 2017-02-02
Objective: To describe the clinical outcomes and complications in patients diagnosed with endometrial cancer that were taken into laparoscopic surgery or laparotomy at Hospital de San José - Bogotá, Colombia during the January 2010 - December 2015.
Materials and Methods: A descriptive retrospective study was conducted, we included adult women who were admitted to the gynecologic oncology department and were diagnosed with endometrial adenocarcinoma and were taken into surgery.
Results: We included 167 patients, 76.7% to laparotomy and 23.3% to laparoscopic laparotomy. In 2010 no endoscopic surgery was performed while in 2015 its frequency increased to 42%. The average age was similar in both groups, with a higher proportion of multiparous and obese women. The main antecedent was hypertension, followed by obesity. In most cases the diagnosis method was endometrioid carcinomas curettage with FIGO 2. 60% of patients underwent laparotomy lymphadenectomy compared with 82% in laparoscopic group. The intraoperative bleeding and the days of hospitalization were lower in the laparoscopy group with equal nodal count in both approaches. Laparoscopic surgery had fewer intraoperative complications compared to laparotomy 3 vs. 6. Laparotomy group patients had higher percentage of early complications (10% vs. 2.6%) and late (17.2% vs. 2.6%).
Conclusions: Laparoscopy is a suitable technique for the surgical treatment of endometrial cancer with a progressive increase in the number of cases performed. In addition the results of intraoperative bleeding, transfusion and recovery time are favorable, with a smaller number of early and late complications.