Prophylactic ligation of uterine arteries at its origin in laparoscopic surgical staging for endometrial cancer

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dc.contributor.authorYavuzcan, Ali
dc.contributor.authorBakay, Kadir
dc.date.accessioned2021-12-01T18:47:55Z
dc.date.available2021-12-01T18:47:55Z
dc.date.issued2021
dc.department[Belirlenecek]en_US
dc.description.abstractAim The aim of this study was to compare the surgical outcomes between patients who were staged laparoscopically for early-stage endometrioid-type endometrial cancer (EC) between those who underwent prophylactic ligation of uterine arteries (UAs) prior to pelvic lymphadenectomy and the patients who were operated with standard procedure. Methods This retrospective study was conducted in women diagnosed with early-stage and low/intermediate-risk endometrioid-type EC. The control group included patients who underwent standard laparoscopic pelvic lymphadenectomy and the study group concerned patients who underwent prophylactic ligation of UA prior to pelvic lymphadenectomy. The prophylactic ligation of UA procedure was performed at a point just proximal to its origin. Results The mean lymph node count dissected in the study group was higher in terms of statistical significance (17.5 +/- 2.2 vs. 19.8 +/- 3.6, p = 0.003 and p < 0.05). The rate of the patients who had a positive pelvic lymph node detected did not differ between groups (7.4% vs. 16.7%, p = 0.258 and p < 0.05). The operation time (OT) of the patients in the study group did not differ between groups (p = 0.546 and p < 0.05). Hemoglobin drop (-0.5 +/- 0.7) and hematocrite drop (-0.8 +/- 0.9) values in the study group were found to be lower in the study group (p = 0.000, p = 0.000, and p < 0.05). Conclusions Performing prophylactic ligation of UA at its origin prevents unwanted bleeding and facilitates the laparoscopic pelvic lymphadenectomy procedure.en_US
dc.identifier.doi10.1111/jog.15040
dc.identifier.issn1341-8076
dc.identifier.issn1447-0756
dc.identifier.pmid34571568en_US
dc.identifier.scopus2-s2.0-85115674696en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1111/jog.15040
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10412
dc.identifier.wosWOS:000700243300001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Obstetrics And Gynaecology Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectendometrial canceren_US
dc.subjectlaparoscopicen_US
dc.subjectligationen_US
dc.subjecttransperitoneal lymphadenectomyen_US
dc.subjectuterine arteryen_US
dc.subjectLymph-Node Counten_US
dc.subjectPelvic Lymphadenectomyen_US
dc.subjectHysterectomyen_US
dc.subjectLaparotomyen_US
dc.subjectCarcinomaen_US
dc.titleProphylactic ligation of uterine arteries at its origin in laparoscopic surgical staging for endometrial canceren_US
dc.typeArticleen_US

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