Jm. Childers et al., LAPAROSCOPIC STAGING OF THE PATIENT WITH INCOMPLETELY STAGED EARLY ADENOCARCINOMA OF THE ENDOMETRIUM, Obstetrics and gynecology, 83(4), 1994, pp. 597-600
Objective: To determine the feasibility of laparoscopic staging in pat
ients with presumed early stage but incompletely surgically staged ade
nocarcinoma of the endometrium. Methods: Thirteen patients with incomp
letely staged adenocarcinoma of the endometrium underwent laparoscopic
staging. The women ranged in age from 36-74 years (mean age 64) and w
eighed 132-201 lb (mean 147.5). The interval between hysterectomy and
laparoscopic staging ranged from 14-63 days, for an average of 47. All
patients underwent inspection of the entire intraperitoneal cavity, p
rocurement of pelvic washings, and/or pelvic or para-aortic lymphadene
ctomy, and two patients had remaining ovaries removed. Results: Extrau
terine disease was found in three patients: One had intraperitoneal wa
shings positive for adenocarcinoma, and two had pelvic lymph nodes pos
itive for microscopic carcinoma. The average number of lymph nodes rem
oved was 17.5. There were no intraoperative complications. Estimated b
lood loss averaged less than 50 mL, and the mean hospital stay was 1.5
days. Conclusion: Our initial experience indicates that this is a saf
e, effective procedure that offers a short hospital stay. We consider
laparoscopic staging an attractive option for some patients with incom
pletely staged early adenocarcinoma of the endometrium.