Is early stage endometrial cancer safely treated by laparoscopy? Complications of a multicenter study and review of recent literature.

Background: To compare the complications after total laparoscopic hysterectomy (LPS) and abdominal hysterectomy with lymphadenectomy (LPT) for early stage endometrial cancer in a series of 226 women and to assess the disease-free survival and the recurrence rate.

Patients And Methods: Two hundred and twenty six patients with clinical stage I endometrial cancer were enrolled in a multicenter study and underwent surgical staging consisting of inspecting the intraperitoneal cavity, peritoneal washing, total hysterectomy, bilateral salpingo-oophorectomy, and in all cases we performed systematic bilateral pelvic lymphadenectomy by LPS or LPT approach.

Results: One patient of the LPS group had an uretero-vaginal fistula and another patient had an ureteral stricture temporarily treated with a stent.

Total laparoscopic hysterectomy in cases of very large uteri: a retrospective comparative study.

In this review, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uteri weighting more than 500 grams. We compared surgical outcomes and short term follow-up in 149 patients with the uterus weighing less than 350 g (group A: 40-350 g) and 100 patients with the uterus weighing more than 500 g (group B: 500-1550 g). We discovered no statistical difference between the 2 groups in terms of intraoperative complications (group A: 0%; group B: 2%) and postoperative stay (group A: 3.

Laparoscopic treatment of deep endometriosis with segmental colorectal resection: short-term morbidity.

Study Objective: Adequate surgical treatment of severe deep endometriosis requires complete excision of all implants, but the modality of bowel resection is still debated. We describe the results of our experience as a tertiary care endometriosis referral center in complete laparoscopic management of deep pelvic endometriosis with bowel involvement.

Design: A prospective single-center study (Canadian Task Force classification II-1).

Preoperative double-contrast barium enema in patients with suspected intestinal endometriosis.

Study Objectives: To assess the usefulness of double-contrast barium enema (DCBE) in the diagnosis of endometriotic lesions of the bowel and to define its potential value in preoperative decision making for intestinal surgery.

Design: Retrospective study (Canadian Task Force classification II-2).

Setting: General hospital with a specialized endometriosis unit.

Pregnancy outcomes and deliveries after laparoscopic myomectomy.

Study Objective: To assess pregnancy outcomes and deliveries after laparoscopic myomectomy.

Design: Retrospective study (Canadian Task Force classification II-2).

Setting: General hospital.