The Experience Of Laparoscopic Surgeries In Gynecologic Oncology
Objective of the study. To compare the results of the treatment of patients with endometrial cancer who underwent surgery in the volume of radical hysterectomy and lymphadenectomy performed by laparoscopic and laparotomy access. The article also considers the possibility of the use of TachoComb® agent in patients with endometrial cancer during video-assisted surgical procedures (a clinical observation). Materials and Methods. The study included patients with endometrial cancer stage I-II who have underwent the treatment in the Federal State Budgetary Institution «N.N. Blokhin Russian Cancer Research Center» of the Ministry of Healthcare of the Russian Federation since 2011 up to the present time. 584 cases of observation, when operations were performed using laparoscopic access, were analyzed. All these surgical procedures were performed using video surgical imaging platform OLYMPUS with a video system EXERA III, and in number of cases an energy system Thunderbeat was applied. Results. Unlike laparotomy, laparoscopy has evident advantages: clinically insignificant intraoperative blood loss, decreased probability of the incidence of post-operative complications, reduced need for analgesic therapy, good cosmetic effect, improvement of the patients’ quality of life indicators were observed in hysterectomies in the volume of radical hysterectomy, lymphadenectomy performed by laparoscopic access. All these factors contributed to the more favourable course and outcome of postoperative period. Conclusions. As a result the study revealed the evident advantages of the surgical treatment of patients with an early endometrial cancer performed using endoscopic techniques.