the retrograde and retroperitoneal totally laparoscopic hysterectomy for endometrial cancer逆行和腹膜后完全腹腔镜子宫切除子宫内膜癌.pdfVIP

Hindawi Publishing Corporation International Journal of Surgical Oncology Volume 2012, Article ID 263850, 5 pages doi:10.1155/2012/263850 Clinical Study The Retrograde and Retroperitoneal Totally Laparoscopic Hysterectomy for Endometrial Cancer Eugenio Volpi,1, 2 Luca Bernardini,2 and Anna Maria Ferrero3 1 Department of Obstetrics and Gynecology, Saint Andrew Hospital Asl 5, La Spezia, Italy 2 Dipartimento Materno-Infantile, Ospedale Sant’ Andrea, Asl 5, Via Veneto 134, 19100 La Spezia, Italy 3 Department of Gynecologic Oncology, University of Turin, Turin, Italy Correspondence should be addressed to Eugenio Volpi, eugenio.volpi@ Received 24 March 2012; Accepted 20 May 2012 Academic Editor: Constantine P. Karakousis Copyright © 2012 Eugenio Volpi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. We retrospectively report our experience with the utilization of an original procedure for total laparoscopic hysterectomy based on completely retrograde and retroperitoneal technique for surgical staging and treatment of the endometrial cancer. The surgical, financial, and oncological advantages are here discussed. Methods. The technique used here has been based on a combination of a retroperitoneal approach with a retrograde and lateral dissection of the bladder and retrograde culdotomy with variable resection of parametrium. No disposable instruments and no uterine manipulator were utilized. Results. Intraoperative and postoperative complications were observed in 10% of the cases overall. Operative time length and mean haemoglobin drop value results were 129 min and 125 mL,