OBJECTIVE: The aim of this study was to determine the utility of laparoscopic pelvic and paraaortic lymph node dissection in @entity28 @entity1 . METHODS: We performed a retrospective analysis from 1/8/96 to 1/14/01 at the University of Oklahoma Health Science Center, evaluating @entity1 who had a Quetelet index (QI) > or =28 and had planned laparoscopic bilateral pelvic and paraaortic lymph node dissections (lnd) for their @entity5 . This group was compared to a matched group of @entity1 that had lnd done by laparotomy. @entity1 were identified by our institution's database and data were collected by review of their medical records. Data were collected regarding demographics, stage, histology, length of stay, and procedural information including completion rates, estimated @entity190 (EBL), operating room (OR) time, lymph node count, assistant, and complications. Associations between variables were analyzed using Student t tests and chi(2) testing, Excel v9.0. RESULTS: Fifty-five @entity1 had planned laparoscopic lnd (Group 1) and 45 @entity1 had lnd via laparotomy (Group 2). All @entity1 had the diagnosis of @entity1204 . The percentage of stage I @entity1 did not differ between groups (42/55, 71.2% versus 37/45, 82.2%, P = n.s.). Age and QI were also similar between groups, (64.6 versus 58.4, 40.0 versus 39.3, P = n.s.). Laparoscopy was completed in 35/55 (63.6%) cases. Reasons for conversion included @entity28 (23.6%), adhesions (1.8%), intraperitoneal @entity5 (5.5%), and @entity548 (5.5%). QI > or =35 was associated with a decreased success rate compared to QI <35 (44.4% versus 82.1%, P = 0.004). There was no difference in successful laparoscopy when the first assistant was a fellow or a community obstetrician/gynecologist (61.0% versus 50.0%, P = n.s.). The @entity1 in Group 1 who had laparoscopy completed had a longer OR time compared to those in Group 2 (265.3 versus 140.7 min, P < 0.0001), EBL and transfusion rates were equivalent (361.8 versus 344.2 ml, 5.6% versus 6.7%, P = n.s.), and length of stay was shorter (2.8 versus 4.5 days, P = 0.0004). Group 1 had significantly fewer @entity86 (5.5% versus 31.1%, P = 0.0007), fewer @entity86 (0% versus 13.3%, P = 0.005), and a trend for fewer @entity2737 (9.0% versus 22.2%, P = 0.07). CONCLUSIONS: Obesity is not a contraindication to laparoscopic pelvic and paraaortic lymph node dissection. The overall success rate was significantly higher in those @entity1 with a QI <35. Advantages include shorter hospital stay, fewer @entity86 , fewer @entity86 , and possibly fewer @entity2737 .

Laparoscopic pelvic and paraaortic lymph node dissection in the XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients'] @entity1204 :: ('MESH:D016889', 'Disease') :: ['endometrial cancer'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese', 'obesity'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity5 :: ('MESH:D009369', 'Disease') :: ['gynecologic cancer', 'cancer'] @entity2737 :: ('MESH:D014946', 'Disease') :: ['wound infections'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative ileus', 'postoperative fevers']
@entity28 :: (MESH:D009765,Disease) :: ['obese']
