Three cases of severely obese women with endometrial cancer who underwent laparoscopic surgery

DOI Web Site Web Site 3 References
  • Tomita Hiroyuki
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Okamoto Haruko
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Kadomoto Tatsuki
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Yanagawa Masumi
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Masuda Miho
    Department of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center
  • Yamazoe Saeko
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Sakiyama Asuka
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Matsubayashi Aya
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Nakakita Baku
    Department of Obstetrics and Gynecology, Kyoto University Hospital
  • Kobayashi Fumimasa
    Department of Obstetrics and Gynecology, Osaka Red Cross Hospital
  • Hayashi Nobutaka
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Oyama Ruriko
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Otake Noriko
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Uematsu Kazuhiko
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Aoki Takuya
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital
  • Yoshioka Shinya
    Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital

Bibliographic Information

Other Title
  • 高度肥満の子宮体癌患者に対して腹腔鏡下手術を施行した3症例の検討
  • 症例報告 高度肥満の子宮体癌患者に対して腹腔鏡下手術を施行した3症例の検討
  • ショウレイ ホウコク コウド ヒマン ノ シキュウタイ ガン カンジャ ニ タイシテ フククウキョウ シタテジュツ オ シコウ シタ 3 ショウレイ ノ ケントウ

Search this article

Description

<p>After adopting laparoscopic surgery for endometrial cancer soon after the procedure was approved in 2014, we have treated obese women. We report three severely obese women with endometrial cancer who underwent laparoscopic surgery. Case 1 was a 52-year-old, G3P0 woman whose height was 158 cm, body weight was 105 kg, and BMI was 42.0 kg/m2 . She was diagnosed preoperatively with atypical endometrial hyperplasia or endometrial cancer IA (FIGO staging) and grade 1 endometrioid adenocarcinoma. Laparoscopic total hysterectomy and salpingo-oophorectomy were performed. The operation time was 277 minutes and intraoperative blood loss was 20 mL. She was discharged on the 4th postoperative day. Case 2 was a 31-year-old, G3P0 woman (height, 163 cm; body weight, 130 kg; BMI, 48.9 kg/m2 ) who was diagnosed preoperatively with endometrial cancer IA and grade 1 endometrioid adenocarcinoma. Laparoscopic total hysterectomy and salpingo-oophorectomy, in addition to partial omentectomy and dissection of pelvic lymph nodes, were performed. The operation time was 463 minutes and intraoperative blood loss was 50 mL. She was discharged on the 6th postoperative day. Case 3 was a 56-year-old, G3P0 woman (height, 157 cm; body weight, 128 kg; BMI, 51.9 kg/m2 ) who was diagnosed preoperatively with endometrial cancer IA and grade 2 endometrioid adenocarcinoma. She underwent laparoscopic total hysterectomy, salpingo-oophorectomy, and partial omentectomy. The operation time was 354 minutes and intraoperative blood loss was 50 mL. She was discharged on the 8th postoperative day. Although the duration of surgery for these three women was prolonged, compared with the mean time for laparoscopic surgery for endometrial cancer at our institution, their courses were uneventful and there were no major intraoperative or postoperative complications. This report suggests that laparoscopic surgery may be applicable for severely obese women with endometrial cancer; however, as there are difficulties with exposure, manipulation of instruments, extraction of the surgical specimens, and port closure, further technical improvement is required to shorten the duration of the surgical procedure.</p>

Journal

  • Tenri Medical Bulletin

    Tenri Medical Bulletin 22 (1), 29-34, 2019-12-25

    Tenri Foundation, Tenri Institute of Medical Research

References(3)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top