Laparoscopic husterectomy with a pelvic lymphadenectomy, as alternative laparotomy at endometrium cancer surgery

In gynecology department of oncologic institute of P. A. Herzen from July, 2010 to December, 2015, the laparoscopic hysterectomy with a pelvic lymphadenectomy concerning endometrial cancer of the I stage is executed at 210 women. Technology of operation is modified according to oncologic demands. Before installation of the uterine manipulator the main vessels participating in blood supply of a uterus for an operation ablastichnost were alloyed. Average age of all patients made 55 ± 11,5 years. More than a half (64%) of patients had the excess body weight, or an obesity (BMI median = 27). Duration of operation varied from 105 to 305 minutes, averaged 167,3±43,1, a median 173 minutes. An average hemorrhage made 95 ml (a median of 65 ml). At 37,1% of patients (N=78) formation of lymphatic cysts is noted. The general duration of stay in a hospital made 9,8 ± 2,8 days, after operation - 6,9 ± 1,7 days. Thus, the postoperative period was characterized in general by a smooth current and the minimum of complications. The laparoscopic hysterectomy with a pelvic lymphadenectomy can be considered as a safe alternative to classical laparotomy techniques.