Feasibility and safety of total laparoscopic radical hysterectomy.
Identifieur interne : 004146 ( PubMed/Curation ); précédent : 004145; suivant : 004147Feasibility and safety of total laparoscopic radical hysterectomy.
Auteurs : Andreas Obermair [Australie] ; Peter Ginbey ; Anthony J. MccartneySource :
- The Journal of the American Association of Gynecologic Laparoscopists [ 1074-3804 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Complications peropératoires (épidémiologie), Complications postopératoires (épidémiologie), Endométriose (), Facteurs temps, Femelle, Humains, Hystérectomie (), Hystérectomie (mortalité), Laparoscopie, Morbidité, Sécurité, Tumeurs de l'endomètre (), Tumeurs du col de l'utérus (), Tumeurs du vagin (), Études de faisabilité, Études de suivi, Études rétrospectives.
- MESH :
- mortalité : Hystérectomie.
- épidémiologie : Complications peropératoires, Complications postopératoires.
- Adulte d'âge moyen, Endométriose, Facteurs temps, Femelle, Humains, Hystérectomie, Laparoscopie, Morbidité, Sécurité, Tumeurs de l'endomètre, Tumeurs du col de l'utérus, Tumeurs du vagin, Études de faisabilité, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Endometrial Neoplasms (surgery), Endometriosis (surgery), Feasibility Studies, Female, Follow-Up Studies, Humans, Hysterectomy (methods), Hysterectomy (mortality), Intraoperative Complications (epidemiology), Laparoscopy, Middle Aged, Morbidity, Postoperative Complications (epidemiology), Retrospective Studies, Safety, Time Factors, Uterine Cervical Neoplasms (surgery), Vaginal Neoplasms (surgery).
- MESH :
- epidemiology : Intraoperative Complications, Postoperative Complications.
- methods : Hysterectomy.
- mortality : Hysterectomy.
- surgery : Endometrial Neoplasms, Endometriosis, Uterine Cervical Neoplasms, Vaginal Neoplasms.
- Feasibility Studies, Female, Follow-Up Studies, Humans, Laparoscopy, Middle Aged, Morbidity, Retrospective Studies, Safety, Time Factors.
Abstract
To evaluate feasibility and morbidity of a total laparoscopic radical hysterectomy (TLRH).
PubMed: 14567809
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pubmed:14567809Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>King Edward Memorial Hospital for Women, Royal Women's Hospital, Herston, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>King Edward Memorial Hospital for Women, Royal Women's Hospital, Herston</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Ginbey, Peter" sort="Ginbey, Peter" uniqKey="Ginbey P" first="Peter" last="Ginbey">Peter Ginbey</name>
</author>
<author><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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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><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>
<term>Vaginal Neoplasms (surgery)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><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>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Intraoperative Complications</term>
<term>Postoperative Complications</term>
</keywords>
<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>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications peropératoires</term>
<term>Complications postopératoires</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><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>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Endométriose</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hystérectomie</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>
</keywords>
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<front><div type="abstract" xml:lang="en">To evaluate feasibility and morbidity of a total laparoscopic radical hysterectomy (TLRH).</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">14567809</PMID>
<DateCreated><Year>2003</Year>
<Month>10</Month>
<Day>21</Day>
</DateCreated>
<DateCompleted><Year>2004</Year>
<Month>01</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised><Year>2005</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1074-3804</ISSN>
<JournalIssue CitedMedium="Print"><Volume>10</Volume>
<Issue>3</Issue>
<PubDate><Year>2003</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of the American Association of Gynecologic Laparoscopists</Title>
<ISOAbbreviation>J Am Assoc Gynecol Laparosc</ISOAbbreviation>
</Journal>
<ArticleTitle>Feasibility and safety of total laparoscopic radical hysterectomy.</ArticleTitle>
<Pagination><MedlinePgn>345-9</MedlinePgn>
</Pagination>
<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>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Obermair</LastName>
<ForeName>Andreas</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>King Edward Memorial Hospital for Women, Royal Women's Hospital, Herston, Australia.</Affiliation>
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<Author ValidYN="Y"><LastName>McCartney</LastName>
<ForeName>Anthony J</ForeName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D016889" MajorTopicYN="N">Endometrial Neoplasms</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D007044" MajorTopicYN="N">Hysterectomy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D007431" MajorTopicYN="N">Intraoperative Complications</DescriptorName>
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<MeshHeading><DescriptorName UI="D010535" MajorTopicYN="Y">Laparoscopy</DescriptorName>
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<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012449" MajorTopicYN="N">Safety</DescriptorName>
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<MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
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<MeshHeading><DescriptorName UI="D002583" MajorTopicYN="N">Uterine Cervical Neoplasms</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D014625" MajorTopicYN="N">Vaginal Neoplasms</DescriptorName>
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