caa a22 4500 44536341X CHVBK 20180317142922.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10397-010-0606-z doi (NATIONALLICENCE)springer-10.1007/s10397-010-0606-z Total laparoscopic hysterectomy for endometrial neoplasia [Elektronische Daten] [Mark Roberts, Carlota Rosales, Poornima Ranka] Total laparoscopic hysterectomy and bilateral salpingo-oophorectomy (TLH) offers an alternative and potentially more favourable procedure for women with early endometrial neoplasia. This cohort review presents the first 66 consecutive cases of TLH for endometrial neoplasia from one surgical team in a large teaching hospital. Data were collected for all women undergoing hysterectomy for suspected endometrial cancer, grade 1-2 adenocarcinoma, carcinoma in situ or severe atypical hyperplasia over 4years using a prospectively kept theatre database. A total of 95 hysterectomies were identified, 66 (69%) underwent TLH, 18 (19%) underwent laparoscopically assisted vaginal hysterectomy (LAVH) and 11 (12%) had total abdominal hysterectomy (TAH) procedures. The mean age and body mass index of the patients in each group were similar, and average blood loss was lower in the TLH group (129ml) compared to LAVH (185ml) or TAH (247ml). Total theatre time for TLH (113min) was similar to LAVH (112min) and less than the TAH group (127min). Conversion rate from TLH to TAH was 0%. There were no major complications in the TLH group. These data report our early experience with a TLH and demonstrate a satisfactory record during its introduction. This new procedure offers a safe alternative to TAH for many women with no increased morbidity in agreement with recent literature. Although this paper reports a non-randomised series, we hope that it will serve to show that these techniques can be adopted safely by a new unit. Springer-Verlag, 2010 Total laparoscopic hysterectomy nationallicence Endometrial cancer nationallicence Neoplasia nationallicence Surgical route outcome nationallicence Severe atypia nationallicence Atypical hyperplasia nationallicence Treatment nationallicence Roberts Mark Women's Services, Royal Victoria Infirmary, NE1 4LP, Newcastle upon Tyne, UK aut Rosales Carlota Women's Services, Royal Victoria Infirmary, NE1 4LP, Newcastle upon Tyne, UK aut Ranka Poornima Women's Services, Royal Victoria Infirmary, NE1 4LP, Newcastle upon Tyne, UK aut Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 73-78 1613-2076 8:1<73 2011 8 10397 https://doi.org/10.1007/s10397-010-0606-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-010-0606-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Roberts Mark Women's Services, Royal Victoria Infirmary, NE1 4LP, Newcastle upon Tyne, UK aut NATIONALLICENCE 700 1- Rosales Carlota Women's Services, Royal Victoria Infirmary, NE1 4LP, Newcastle upon Tyne, UK aut NATIONALLICENCE 700 1- Ranka Poornima Women's Services, Royal Victoria Infirmary, NE1 4LP, Newcastle upon Tyne, UK aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 73-78 1613-2076 8:1<73 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer