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Adverse events associated with laparoscopy vs laparotomy in the treatment of endometrial cancer.

Publication ,  Journal Article
Barnett, JC; Havrilesky, LJ; Bondurant, AE; Fleming, ND; Lee, PS; Secord, AA; Berchuck, A; Valea, FA
Published in: Am J Obstet Gynecol
August 2011

OBJECTIVE: The objective of the study was to compare adverse event rates between laparoscopic vs open surgery for endometrial cancer. STUDY DESIGN: This was a retrospective cohort study comparing 107 women who underwent laparoscopy with 269 age- and body mass index-matched women who underwent laparotomy for treatment of endometrial cancer. RESULTS: Adverse event rates were similar between cohorts (37% laparoscopy vs 43% laparotomy, P=.248). Laparotomies had higher rates of cellulitis (16% vs 7%, P=.018) and open wound infection (9% vs 2%, P=.02), whereas laparoscopy had higher rates of sensory peripheral nerve deficit (5% vs 0%, P=.008) and lymphedema (7% vs 1%, P=.003). Laparoscopy was associated with longer mean operating room times but with shorter hospital stays and lower mean blood loss. CONCLUSION: Laparoscopy was associated with decreased rates of surgical site infections but had an increased risk of peripheral sensory nerve deficits and lymphedema when compared with laparotomy.

Duke Scholars

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

August 2011

Volume

205

Issue

2

Start / End Page

143.e1 / 143.e6

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Surgical Wound Infection
  • Risk Assessment
  • Retrospective Studies
  • Pain, Postoperative
  • Obstetrics & Reproductive Medicine
  • Neoplasm Staging
  • Neoplasm Invasiveness
  • Middle Aged
 

Citation

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Chicago
ICMJE
MLA
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Barnett, J. C., Havrilesky, L. J., Bondurant, A. E., Fleming, N. D., Lee, P. S., Secord, A. A., … Valea, F. A. (2011). Adverse events associated with laparoscopy vs laparotomy in the treatment of endometrial cancer. Am J Obstet Gynecol, 205(2), 143.e1-143.e6. https://doi.org/10.1016/j.ajog.2011.03.012
Barnett, Jason C., Laura J. Havrilesky, Amy E. Bondurant, Nicole D. Fleming, Paula S. Lee, Angeles Alvarez Secord, Andrew Berchuck, and Fidel A. Valea. “Adverse events associated with laparoscopy vs laparotomy in the treatment of endometrial cancer.Am J Obstet Gynecol 205, no. 2 (August 2011): 143.e1-143.e6. https://doi.org/10.1016/j.ajog.2011.03.012.
Barnett JC, Havrilesky LJ, Bondurant AE, Fleming ND, Lee PS, Secord AA, et al. Adverse events associated with laparoscopy vs laparotomy in the treatment of endometrial cancer. Am J Obstet Gynecol. 2011 Aug;205(2):143.e1-143.e6.
Barnett, Jason C., et al. “Adverse events associated with laparoscopy vs laparotomy in the treatment of endometrial cancer.Am J Obstet Gynecol, vol. 205, no. 2, Aug. 2011, pp. 143.e1-143.e6. Pubmed, doi:10.1016/j.ajog.2011.03.012.
Barnett JC, Havrilesky LJ, Bondurant AE, Fleming ND, Lee PS, Secord AA, Berchuck A, Valea FA. Adverse events associated with laparoscopy vs laparotomy in the treatment of endometrial cancer. Am J Obstet Gynecol. 2011 Aug;205(2):143.e1-143.e6.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

August 2011

Volume

205

Issue

2

Start / End Page

143.e1 / 143.e6

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Surgical Wound Infection
  • Risk Assessment
  • Retrospective Studies
  • Pain, Postoperative
  • Obstetrics & Reproductive Medicine
  • Neoplasm Staging
  • Neoplasm Invasiveness
  • Middle Aged