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Laparoscopic pelvic and paraaortic lymph node dissection OK for obese women.
2002 JUN 20 - (NewsRx.com & NewsRx.net) -- by Roxanne Nelson, staff medical writer - Researchers in the U.S. report that laparoscopic pelvic and paraaortic lymph node dissections can be successfully performed in obese women, especially if their Quetelet Index (QI) is below 35.
Laparoscopic surgery is being used with more frequency in treatment of gynecologic malignancies. Researchers in Oklahoma City conducted a retrospective analysis to assess whether or not obesity was a contraindication for the procedure.
The women chosen for inclusion were identified through the University of Oklahoma Health Science Center database. All had QI greater than or equal to28 and had planned to treat their gynecologic cancer with a laparoscopic bilateral pelvic and paraaortic node dissection. They were matched with a comparable group who had undergone the same procedure by standard laparotomy.
D.R. Scribner and colleagues at the University of Oklahoma Health Science Center compared data on the 55 women who underwent laparoscopy against the laparotomy group. All patients were being treated for endometrial cancer and had similar cancer staging, age, and QI.
In 63.6% of cases, laparoscopy was successfully completed. Obesity was the reason indicated for nearly a quarter of the patients who had to convert to standard surgery. Other indications included adhesions, intraperitoneal cancer and bleeding (Laparoscopic pelvic and paraaortic lymph node dissection in the obese, Gynecologic Oncology, 2002;84(3):426-430).
Women with a QI greater than or equal to35 ...
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