Selcuk I*, Ozgu E, Oz Murat, Cuylan ZF, Kaplan AO, Sari E, Ozkan NT, Meydanli MM and Gungor T
Department of Gynecologic Oncology, Health Sciences University, Ankara, TurkeyFulltext PDF
Objective: To determine the role of obesity on the dissected lymph node counts during endometrial cancer surgery.
Materials and Methods: Two hundred endometrium cancer patients who had surgical staging between January 2012 and January 2016 at Zekai Tahir Burak Woman’s Health Education and Research Hospital were analysed retrospectively for dissected lymph node counts with regard to the obesity classification. Operations were performed by four senior gynecological oncologists and no self-retaining retractors had been used during the operations.
Results: Median age of the patients was 58 and median body mass index (BMI) was 31.8 kg/m2 (ranging 20.1-51.2 kg/m2). The number of mean dissected lymph nodes for pelvic and paraaortic areas were 40.2 ± 16 and 18.1 ± 9.6, respectively. Endometrioid, serous and clear cell histology were detected in 79.1%, 6% and 5.5% of cases, respectively. The mean number of dissected lymph node counts in pelvic and paraaortic lymph node groups were categorized due to BMI status and analysed for BMI <30 vs. ≥ 30 (non-obese vs. obese), BMI <35 vs. ≥ 35 (below class II obesity vs. class II-III obese) and BMI <40 vs. 40 (non-class III obese vs. class III obese) kg/m2. There were not any statistical differences between the groups for dissected lymph node counts.
Conclusion: During staging surgery for endometrial cancer, obesity is not a rate-limiting step for pelvic and paraaortic lymphadenectomy, even the surgical team does not use any self-retaining retractors.
Obesity; Endometrial cancer; Lymphadenectomy; Pelvic; Paraaortic
Selcuk I, Ozgu E, Oz Murat, Cuylan ZF, Kaplan AO, Sari E, et al. Obesity is not a Rate Limiting Step during Open Procedures in Endometrial Cancer Surgery. Clin Oncol. 2018; 3: 1480.