From the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Pennsylvania State University, Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Obstet Gynecol. 2010 Dec;116(6):1354-1357. doi: 10.1097/AOG.0b013e3181fae272.
To estimate the conversion rate of attempted laparoscopic staging for primary endometrial adenocarcinoma.
Two hundred thirty-five consecutive patients with primary endometrial adenocarcinoma underwent attempted laparoscopic staging regardless of age, body mass index (BMI, calculated as weight (kg)/[height (m)]²), uterine size, and prior surgery. No patients were excluded.
Mean BMI was 39 (range, 22-77), and 85 patients (36%) had a BMI higher than 40 kg/m². Mean blood loss was 162 mL (range, 25-1850 mL), mean operating room time was 2 hours (range, 1-4 hours 20 minutes), and mean hospital stay was 1 day (range, 1-4 days). There were six conversions (3%) to laparotomy or vaginal hysterectomy, all occurring in patients with a BMI higher than 40; mean BMI of conversions was 66 (range, 55-77).
Of 235 consecutive cases of attempted laparoscopic staging for primary endometrial adenocarcinoma, conversion to laparotomy or vaginal hysterectomy occurred in 3% of the total patients and 7% in patients with a BMI of 40 or higher.
评估原发性子宫内膜腺癌腹腔镜分期术的转化率。
235 例原发性子宫内膜腺癌患者无论年龄、体重指数（BMI，体重（kg）/[身高（m）]²）、子宫大小和既往手术如何，均行腹腔镜分期术。无患者被排除。
平均 BMI 为 39（范围 22-77），85 例（36%）患者 BMI 高于 40kg/m²。平均出血量为 162ml（范围 25-1850ml），平均手术时间为 2 小时（范围 1-4 小时 20 分钟），平均住院时间为 1 天（范围 1-4 天）。有 6 例（3%）转为剖腹手术或经阴道子宫切除术，均发生在 BMI 高于 40 的患者中；转化率的平均 BMI 为 66（范围 55-77）。
在 235 例连续原发性子宫内膜腺癌腹腔镜分期术患者中，总患者中有 3%、BMI 为 40 或更高的患者中有 7%转为剖腹手术或经阴道子宫切除术。
