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  • Primerjava laparoskopskega in klasičnega kirurškega zdravljenja bolnic z endometrijskim karcinomom = A comparison of laparoscopic surgery with classic open procedure in endometrial cancer
    Kobal, Borut ...
    Background. Traditional surgical technique applied in the treatment of endometrial carcinoma is total abdominal hysterectomy combined with bilateral salpingoophorectomy. Laparoscopic surgical ... technique, providing the possibility of simultaneous hysterectomy and lymphadenectomy through the vagina, represents the alternative to laparatomy. The objective of this analysis was to evaluate periand postoperative parameters of both techniques, and the appropriateness of the number of removed nodes. Methods. This retrospective comparative analysis involved 36 patients (Group LAVH), who underwent Laparoscopic surgical treatment for stage I endometrial carcinoma inthe period 1995-2003, and 24 randomly chosen patients (Group TELA), in whom the same surgical procedures were performed using abdominal approach. The datafor comparison of general clinical parameters, duration of surgery, blood loss, early and late postoperative complications, duration of stay at the intensive care unit and hospital stay, were collected from the operative and anesthesiology records. Histologic findings provided histopathomorphologic data on carcinoma and the number of removed nodes. The comparison of all parameters was evaluated using Student T-test for continuous variables, and Chi-square test and Mann-Whitney test for categorical variables. Results. General clinical parameters and the patient age were evenly distributed between the groups. The same applies for the distribution of mean blood loss and early postoperative complications. Two patients, treated laparoscopically,were re-admitted to hospital for pelvic abscess. The mean duration of stay at the intensive care unit was longer in the TELA group patients (3.3+-1.1) than in the LAVH group patients (2.1+-0.45) (F=30.41;p<0.0001). (Abstract truncated at 2000 characters).
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 72, supl. 2, sep. 2003, str. II-35-II-38)
    Vrsta gradiva - prispevek na konferenci
    Leto - 2003
    Jezik - slovenski
    COBISS.SI-ID - 16662745

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