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Feasibility and safety of total laparoscopic radical hysterectomy.

Identifieur interne : 004146 ( PubMed/Curation ); précédent : 004145; suivant : 004147

Feasibility and safety of total laparoscopic radical hysterectomy.

Auteurs : Andreas Obermair [Australie] ; Peter Ginbey ; Anthony J. Mccartney

Source :

RBID : pubmed:14567809

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Abstract

To evaluate feasibility and morbidity of a total laparoscopic radical hysterectomy (TLRH).

PubMed: 14567809

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pubmed:14567809

Le document en format XML

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<title xml:lang="en">Feasibility and safety of total laparoscopic radical hysterectomy.</title>
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<name sortKey="Obermair, Andreas" sort="Obermair, Andreas" uniqKey="Obermair A" first="Andreas" last="Obermair">Andreas Obermair</name>
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<nlm:affiliation>King Edward Memorial Hospital for Women, Royal Women's Hospital, Herston, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
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<name sortKey="Ginbey, Peter" sort="Ginbey, Peter" uniqKey="Ginbey P" first="Peter" last="Ginbey">Peter Ginbey</name>
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<name sortKey="Mccartney, Anthony J" sort="Mccartney, Anthony J" uniqKey="Mccartney A" first="Anthony J" last="Mccartney">Anthony J. Mccartney</name>
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<title xml:lang="en">Feasibility and safety of total laparoscopic radical hysterectomy.</title>
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<term>Endometrial Neoplasms (surgery)</term>
<term>Endometriosis (surgery)</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hysterectomy (methods)</term>
<term>Hysterectomy (mortality)</term>
<term>Intraoperative Complications (epidemiology)</term>
<term>Laparoscopy</term>
<term>Middle Aged</term>
<term>Morbidity</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Retrospective Studies</term>
<term>Safety</term>
<term>Time Factors</term>
<term>Uterine Cervical Neoplasms (surgery)</term>
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<term>Adulte d'âge moyen</term>
<term>Complications peropératoires (épidémiologie)</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Endométriose ()</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hystérectomie ()</term>
<term>Hystérectomie (mortalité)</term>
<term>Laparoscopie</term>
<term>Morbidité</term>
<term>Sécurité</term>
<term>Tumeurs de l'endomètre ()</term>
<term>Tumeurs du col de l'utérus ()</term>
<term>Tumeurs du vagin ()</term>
<term>Études de faisabilité</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Intraoperative Complications</term>
<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Hysterectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en">
<term>Hysterectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr">
<term>Hystérectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Endometrial Neoplasms</term>
<term>Endometriosis</term>
<term>Uterine Cervical Neoplasms</term>
<term>Vaginal Neoplasms</term>
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<term>Complications peropératoires</term>
<term>Complications postopératoires</term>
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<term>Feasibility Studies</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Laparoscopy</term>
<term>Middle Aged</term>
<term>Morbidity</term>
<term>Retrospective Studies</term>
<term>Safety</term>
<term>Time Factors</term>
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<term>Adulte d'âge moyen</term>
<term>Endométriose</term>
<term>Facteurs temps</term>
<term>Femelle</term>
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<term>Hystérectomie</term>
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<term>Tumeurs du vagin</term>
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<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<div type="abstract" xml:lang="en">To evaluate feasibility and morbidity of a total laparoscopic radical hysterectomy (TLRH).</div>
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<Month>10</Month>
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<Year>2004</Year>
<Month>01</Month>
<Day>14</Day>
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<Day>17</Day>
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<Title>The Journal of the American Association of Gynecologic Laparoscopists</Title>
<ISOAbbreviation>J Am Assoc Gynecol Laparosc</ISOAbbreviation>
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<ArticleTitle>Feasibility and safety of total laparoscopic radical hysterectomy.</ArticleTitle>
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<Abstract>
<AbstractText Label="STUDY OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate feasibility and morbidity of a total laparoscopic radical hysterectomy (TLRH).</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Retrospective chart review (Canadian Task Force classification II-3).</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Gynecologic cancer center.</AbstractText>
<AbstractText Label="PATIENTS" NlmCategory="METHODS">Fifty-five women with cervical (39), endometrial (8), vaginal (2), or recurrent colon cancer (1), or severe pelvic endometriosis (5) followed for 3 years.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">TLRH in 55 women, converted to laparotomy in 3 (5.5%).</AbstractText>
<AbstractText Label="MEASUREMENTS AND MAIN RESULTS" NlmCategory="RESULTS">Feasibility, safety, patterns of recurrence, and survival were assessed. Estimated blood loss was 200 ml (range 50-2000 ml), median total operating time was 210 minutes, and median hospital stay was 5 days. Intraoperative complications were three vascular injuries and one obturator nerve palsy, all of which occurred in the first half of the series. Early postoperative morbidity included deep vein thrombosis, pulmonary embolism, bladder infection and dysfunction, and vaginal fistula. These events occurred less frequently in the second half of the series. Late postoperative morbidity consisted of lymphedema, pelvic abscess and lymphocyst formation, pelvic cellulitis, hyperesthesia of the leg, and small bowel obstruction. The only fatality was a patient who developed a pulmonary embolus on postoperative day 3. Median follow-up was 36.5 months. Of 39 women with cervical cancer, 34 were alive and disease free at their last visit. No case of port site metastasis occurred during follow-up.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">TLRH carries acceptably low morbidity that can be reduced with experience with the technique.</AbstractText>
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