Transvaginal natural orifice transluminal endoscopic surgery (VNOTES) retroperitoneal sentinel lymph node BIOPSY compared with conventional laparoscopy in patients with endometrial cancer

IF 2.3 4区 医学 Q3 ONCOLOGY
Cihan Comba , Sema Karakas , Sakir Volkan Erdogan , Omer Demir , Erkan Şimşek , Fatma Karasabanoglu , Gokhan Demirayak , Isa Aykut Ozdemir
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引用次数: 0

Abstract

Introduction

To explore the possibility of treatment with VNOTES sentinel lymph node dissection concept in patients with endometrial cancer.

Methods

Patients who underwent VNOTES sentinel lymph node biopsy with the Comba modification were compared to patients who underwent conventional laparoscopic sentinel lymph node biopsy performed by the same surgical team. A total of 38 patients who underwent sentinel lymph node biopsy + total laparoscopic hysterectomy and bilateral salpingo-oophorectomy (BSO) were compared with 19 patients who underwent VNOTES retroperitoneal sentinel lymph node biopsy + hysterectomy and BSO. Surgical steps were described.

Results

The average operation time, perioperative blood loss, the number of sentinel lymph nodes, presence of complications, and preoperative-postoperative hemoglobin-hematocrit differences, tumor stages, grades, largest tumor diameter, depths of invasion, and histological subtypes were similar in both the VNOTES and conventional laparoscopy groups. The postoperative pain scores were lower and the hospital stay was shorter in the VNOTES group than in the conventional laparoscopy group. No disease recurrence had been detected in either group at the time of writing.

Conclusion

Compared to conventional laparoscopy, sentinel lymph node biopsy with the VNOTES technique provides similar surgical results and is more advantageous in terms of postoperative pain and hospital length of stay.

子宫内膜癌患者经阴道自然孔腔内镜手术(VNOTES)腹膜后前哨淋巴结BIOPSY与传统腹腔镜手术的比较。
简介:目的探讨在子宫内膜癌患者中使用VNOTES前哨淋巴结清扫概念进行治疗的可能性:将接受康巴改良VNOTES前哨淋巴结活检术的患者与接受由同一手术团队实施的传统腹腔镜前哨淋巴结活检术的患者进行比较。38名接受前哨淋巴结活检+全腹腔镜子宫切除术和双侧输卵管切除术(BSO)的患者与19名接受VNOTES腹膜后前哨淋巴结活检+子宫切除术和BSO的患者进行了比较。对手术步骤进行了描述:结果:VNOTES组和传统腹腔镜组的平均手术时间、围手术期失血量、前哨淋巴结数量、并发症发生率、术前术后血红蛋白-血细胞比容差异、肿瘤分期、分级、最大肿瘤直径、浸润深度和组织学亚型相似。与传统腹腔镜手术组相比,VNOTES组的术后疼痛评分更低,住院时间更短。在撰写本报告时,两组患者均未发现疾病复发:结论:与传统腹腔镜手术相比,采用VNOTES技术进行前哨淋巴结活检的手术效果相似,但在术后疼痛和住院时间方面更具优势。
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来源期刊
Surgical Oncology-Oxford
Surgical Oncology-Oxford 医学-外科
CiteScore
4.50
自引率
0.00%
发文量
169
审稿时长
38 days
期刊介绍: Surgical Oncology is a peer reviewed journal publishing review articles that contribute to the advancement of knowledge in surgical oncology and related fields of interest. Articles represent a spectrum of current technology in oncology research as well as those concerning clinical trials, surgical technique, methods of investigation and patient evaluation. Surgical Oncology publishes comprehensive Reviews that examine individual topics in considerable detail, in addition to editorials and commentaries which focus on selected papers. The journal also publishes special issues which explore topics of interest to surgical oncologists in great detail - outlining recent advancements and providing readers with the most up to date information.
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