Related Experiment Video
Updated: May 25, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Mini-laparotomy versus vaginal surgery for class II-III obese patients with early-stage endometrial cancer
Massimiliano Fambrini1, Annalisa Pieralli, Ubaldo Bitossi
1Dipartimento di Scienze per la Salute della Donna e del Bambino, Sezione di Ginecologia e Ostetricia, Policlinico di Careggi, Via Morgagni 85, 50134, Firenze, Italy. maxfambrini@libero.it
Aim:
To compare minilaparotomic and vaginal surgery in selected obese patients with early-stage endometrial cancer at high surgical risk.
Patients And Methods:
Data of 37 consecutive class II-III obese patients submitted to minilaparotomic surgery were retrospectively reviewed. Thirty-seven women matched for demographic characteristics, BMI and stage of disease submitted to vaginal surgery in the same period comprised the control group.
Results:
No difference was observed concerning intra- and postoperative data among the two groups. The patients who were submitted to general anesthesia exhibited a larger use of supplemental drugs for pain control (p>0.01), a higher incidence of thromboembolic events (p>0.005) and a longer hospitalization (p>0.02). No statistical difference was observed in terms of pattern of recurrence, disease-free survival and overall survival between the two groups of patients.
Conclusion:
Obese patients with endometrial cancer unfit for vaginal surgery can be safely managed through mini-laparotomy with the same surgical and oncological outcomes.
More Related Videos
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
11:29Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
