Endometrial Cancer, Extreme Obesity
Conditions
Keywords
Early stage endometrial cancer, extreme obesity, transvaginal NOTES
Brief summary
The aim of this study is to investigate the feasibility and efficacy of the v-NOTES approach for extremely obese patients with early-stage type 1 endometrial cancer.
Interventions
PROCEDURETransvaginal natural orifice endoscopic surgery for endometrial cancer staging
Cases of extreme obese patients with early stage endometrial cancer who underwent v-NOTES
Sponsors
Dr. Lutfi Kirdar Kartal Training and Research Hospital
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Extreme obese patients * Early stage type-1 endometrial cancer proved by endometrial sampling
Exclusion criteria
* any contraindication for pneumoperitoneum * any contraindication for the dorsal lithotomy position * any contraindication for general anesthesia, * any contraindication for v-NOTES * suspicion of pelvic adhesions * presence or suspicion of obliteration of the pouch of Douglas
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operating time | 4 hours | The operation time in minutes. The operation time was from commencement of the colpotomy incision to vaginal closure. |
| Any conversion to conventional laparoscopy or laparotomy | 4 hours | Number of the patients whose surgery couldn't completed by transvaginal natural orifice surgery. |
| Pre- and post-operative hemoglobin levels | 24 hours | Hemoglobin levels in g/dL. Hemoglobin levels of the patients before surgery and on postoperative day 1. |
| Length of hospital stay | 2 day | Length of hospital stay in days. Duration of hospital stay was calculated from the patient's admission until hospital discharge. |
| Any intra- or post-operative complication | 6 months | Number of the patients who have any complication during or after transvaginal natural orifice surgery. |
| pain scores | 6 hours | Pain scores in VAS score. Pain scores were evaluated using a visual analog scale (VAS). Scores are based on self-reported measures of pain that are recorded with a single handwritten mark placed at one point along the length of a 10-cm line that represents a continuum between the two ends of the scale-no pain on the left end (0 cm) of the scale and the worst pain on the right end of the scale (10 cm). |
Countries
Turkey (Türkiye)
Outcome results
None listed