Laparoscopic hysterectomy for endometrial carcinoma in obese patients

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Abstract

Background. Up to date the coincidence of endometrial carcinoma and obesity is widespread. Obesity has unfavorable action on surgical treatment results. Objective. To evaluate the effectiveness of laparoscopic technique for surgical treatment of endometrial carcinoma in obese patients. Methods. We have prospectively evaluated the results of surgical treatment from 97 obese patients with low metastasis risk endometrial carcinoma from 2010 to 2014 years. Results. Laparoscopic surgery associated with low intraoperative blood loss (26.4 ± 7.1 ml vs 267.2 ± 45.0 ml, p < 0.0001), on the other hand laparoscopic surgery not prolongs operating time (108.8 ± 7.5 min vs 104.3 ± 13.5 min, p = 0.38). Obese patients after laparoscopic surgery have low complications rate (1.5 % vs. 48.3 %, p = 0.002). Conclusions. Laparoscopy is effective option for surgical treatment of low metastasis risk endometrial cancer patients with obesity.

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About the authors

Igor’ Viktorovich Berlev

Scientific Research Institute named by N. N. Petrov

Email: iberlev@gmail.com
scientific director of gynecologic oncology division

Elena Aleksandrovna Ul’rikh

Scientific Research Institute named by N. N. Petrov

Email: elenaulrikh@mail.ru
research officer

Bakhtierovich Saparov Aminzhon

North-West State Medical University named by I. I. Mechnikov

Email: saparovaminjon@gmail.com
PhD student, department of obstetrics and gynecology

Ekaterina Aleksandrovna Nekrasova

Scientific Research Institute named by N. N. Petrov

Email: Ekaterina_neks@mail.ru
research officer, candidate of medical sciences

Nikolay Aleksandrovich Mikaya

Scientific Research Institute named by N. N. Petrov

Email: oncl@rion.spb.ru
head of gynecologic oncology division, candidate of medical sciences

Adel’ Fedorovna Urmancheeva

Scientific Research Institute named by N. N. Petrov

Email: adaurm@mail.ru
research officer

Anna Alekseevna Tsipurdeeva

FSBSI “The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O.Ott”

Email: tsypurdeeva@mail.ru
researcher

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Copyright (c) 2014 Berlev I.V., Ul’rikh E.A., Aminzhon B.S., Nekrasova E.A., Mikaya N.A., Urmancheeva A.F., Tsipurdeeva A.A.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 66759 от 08.08.2016 г. 
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия Эл № 77 - 6389 от 15.07.2002 г.


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