Perioperative Period
Conditions
Brief summary
This single-institution prospective randomized clinical trial will be performed at the Gynecologic Oncology clinic of Ankara University. Patients with endometrial cancer and cervix cancer who will be operated for staging via laparoscopic approach will be included in the study. The included patients will be randomized to two groups before surgery. During the operation of first group instruments with advanced bipolar energy will be used during lymphadenectomy and hysterectomy and salpingo-oophorectomy. In the second group the operation will be performed by conventional bipolar energy forceps. The outcome parameters to be measured are intra-operative bleeding, duration of operation, intraoperative complications, postoperative pain score, postoperative complications, postoperative duration of hospitalization, late complications such as lymphocele formation and costs.
Interventions
Vessel sealing device Ligasure-Covidien used during laparoscopic hysterectomy and pelvic lymphadenectomy
Vessel sealing device RoBi forceps-Karl Storz used during laparoscopic hysterectomy and pelvic lymphadenectomy
Sponsors
Study design
Eligibility
Inclusion criteria
* Pathologic diagnosis of endometrial or cervix cancer * Stage I, IB1, IIA1 cervix cancer or patients with partial or complete response to chemoradiotherapy * Clinically stage I and II endometrial cancer
Exclusion criteria
* Hematologic abnormality * Coagulation disorder * Present or past thromboembolic disease * ECOG performance \>2 * Advanced stage disease * Fertility preserving surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of operation | six months |
| Perioperative complications | six months |
Secondary
| Measure | Time frame |
|---|---|
| Pain measured by Visual Analog Scale | Postoperative pain scores at 8th and 24th hours |
| Total cost of hospitalization, operation and complications | six months |
Countries
Turkey (Türkiye)