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  • Title: Novel technique for the complete staging of endometrial cancer by single-port laparoscopy.
    Author: Zapardiel I, Moreno E, Piñera A, De Santiago J.
    Journal: Gynecol Oncol; 2016 Feb; 140(2):369-71. PubMed ID: 26706660.
    Abstract:
    OBJECTIVE: Our aim was to evaluate the feasibility of a novel technique using single-port laparoscopy for the complete surgical staging of endometrial cancer. METHODS: Total hysterectomy, bilateral salpingo-oophorectomy, pelvic lymphadenectomy and para-aortic lymphadenectomy was performed using a single-port device in two steps: first, a retroperitoneal para-aortic dissection was conducted, followed by a transperitoneal pelvic lymphadenectomy and a total hysterectomy. Conventional laparoscopic instruments were used in all cases. Perioperative details were collected. RESULTS: Four consecutive patients with endometrial cancer underwent single-port laparoscopic staging procedure. All cases were high-risk endometrial cancers (two FIGO stage IA and two IB). Histologic types included three adenocarcinomas and one carcinosarcoma. The median operating time was 280min (ranged 240-320min), and the median length of stay was 3.5days (ranged 3-6days). No complications or conversion to conventional multiport laparoscopy were reported. CONCLUSIONS: Single-port laparoscopic surgical staging for endometrial cancer is a feasible procedure, even when the procedure included a para-aortic lymph node dissection.
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