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2022-RA-936-ESGO Feasibility of laparoscopic extraperitoneal pelvic lymphadenectomy in obese endometrial cancer patients
  1. Mohamed Hamdy,
  2. Adel Fathi and
  3. Khaled Gaballa
  1. Surgical oncology, Oncology center Mansoura university, Mansoura, Egypt


Introduction/Background Objective: To describe the feasibility of extraperitoneal approach to perform complete para-aortic and pelvic lymphadenectomy in patients with endometrial cancer. Theoretically, extraperitoneal approach is technically easier in the obese patient as it naturally creates a bowel-free operative field.

Methodology A prospective descriptive study evaluating laparoscopic extraperitoneal pelvic lymphadenectomy in patients with endometrial cancer, 20 endometrial cancer patients were enrolled in the trial.

Abstract 2022-RA-936-ESGO Figure 1
Abstract 2022-RA-936-ESGO Figure 2

Results Result: 2 cases were shifted to open and excluded from the trial. The median BMI of the patients was (37.5), in 3 (16.6%) cases, right nodal dissection was performed through the transperitoneal approach. The average number of pelvic nodal yield was (20). The mean total operative time was 298 (±53.2) minutes. The mean lymphadenectomy time 194.4 (±34.3) minutes. The mean blood loss was 120 (±25.2) ml. the mean hospital stays1.67 (±0.76) days. No patient experienced tumor recurrence with mean follow-up of 12 (±5.6) months.

Conclusion Laparoscopic extraperitoneal pelvic lymphadenectomy is feasible, effective, and safe approach and has an added value when offered to obese females such as cases with endometrial cancer.

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