Analgesic and antiemetic needs following minimally invasive vs open staging for endometrial cancer.

Journal Article (Journal Article)

OBJECTIVE: We sought to assess perioperative outcomes of minimally invasive vs open endometrial cancer staging procedures. STUDY DESIGN: A total of 181 consecutive patients underwent open or minimally invasive hysterectomy with or without lymphadenectomy. Perioperative outcomes, analgesic, and antiemetic use were compared. RESULTS: In all, 97 and 84 women underwent open and minimally invasive staging procedures, respectively. In the open staging group, median anesthesia time was shorter (197 vs 288 minutes; P < .0001), but recovery room stay (168 vs 140 minutes; P = .01) and hospital stay (4 vs 1 day; P < .0001) were longer. Median narcotic (13 vs 43 mg morphine equivalents; P < .0001) and antiemetic (43% vs 25%; P = .01) use were lower for minimally invasive surgery in the first 24 hours postoperatively. Median estimated blood loss was lower for minimally invasive procedures (100 vs 300 mL; P < .0001). CONCLUSION: Minimally invasive staging for endometrial cancer is associated with lower use of narcotics and antiemetics, and shorter hospital stay compared to open procedures.

Full Text

Duke Authors

Cited Authors

  • Fleming, ND; Havrilesky, LJ; Valea, FA; Allen, TK; Broadwater, G; Bland, A; Habib, AS

Published Date

  • January 2011

Published In

Volume / Issue

  • 204 / 1

Start / End Page

  • 65.e1 - 65.e6

PubMed ID

  • 20869036

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2010.08.020


  • eng

Conference Location

  • United States