Laparoscopic-assisted vaginal hysterectomy for endometrial cancer: Clinical outcomes and hospital charges Journal Article
| Authors: | Gemignani, M. L.; Curtin, J. P.; Zelmanovich, J.; Patel, D. A.; Venkatraman, E.; Barakat, R. R. |
| Article Title: | Laparoscopic-assisted vaginal hysterectomy for endometrial cancer: Clinical outcomes and hospital charges |
| Abstract: | Objective. Our objective was to compare the clinical outcomes and associated hospital charges between two methods of hysterectomy for patients with early-stage endometrial cancer. Methods. Retrospective chart review of 320 patients with early-stage endometrial cancer treated by laparoscopic- assisted vaginal hysterectomy (LAVH) or total abdominal hysterectomy (TAH) was performed for the period of July 1, 1991, to September 30, 1996, at Memorial Sloan-Kettering Cancer Center. Results. Sixty-nine patients (22%) were treated by LAVH, and 251 (78%) were treated by TAH. The majority of the patients (80%) had Stage I disease. The mean age was similar for both groups: 60 years for the LAVH vs 61 years for TAH. The mean weight was significantly lower for the LAVH group, 71 kg (range 43-117 kg), than for the TAH group, 82 kg (range 38-200 kg), (P < 0.05). Overall complication rates were lower among patients treated by LAVH. Operating room time was longer for the LAVH group (214 min) than for the TAH group (144 min) (P < 0.05). The median length of stay was significantly shorter for patients treated by LAVH (2.0 days) compared to TAH (6.0 days) (P < 0.05). Room charges were significantly higher for the TAH patients ($6960) compared to the LAVH patients ($3130) (P < 0.05). Overall mean total charges were significantly less for the LAVH group ($11,826) than for the TAH group ($15,189) (P < 0.05). With a median follow- up of 30 months for the TAH group and 18 months for the LAVH group, there was no significant difference in disease recurrence (P = 0.91). Conclusion. Patients treated by LAVH for early-stage endometrial cancer had significantly shorter hospitalization and fewer complications, resulting in less overall hospital charges when compared to patients treated by TAH. Long-term outcome was similar. Laparoscopic-assisted vaginal hysterectomy is an attractive alternative for selected patients with early-stage endometrial cancer. |
| Keywords: | adult; aged; aged, 80 and over; middle aged; retrospective studies; major clinical study; histopathology; cancer staging; endometrium carcinoma; endometrial neoplasms; laparoscopy; cancer grading; laparoscopic surgery; adenocarcinoma; postoperative complication; postoperative complications; length of stay; operation duration; intermethod comparison; vaginal hysterectomy; ileus; wound dehiscence; hospital cost; evisceration; hysterectomy, vaginal; humans; human; female; priority journal; article; hospital charges |
| Journal Title: | Gynecologic Oncology |
| Volume: | 73 |
| Issue: | 1 |
| ISSN: | 0090-8258 |
| Publisher: | Elsevier Inc. |
| Date Published: | 1999-04-01 |
| Start Page: | 5 |
| End Page: | 11 |
| Language: | English |
| DOI: | 10.1006/gyno.1998.5311 |
| PUBMED: | 10094872 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 16 August 2016 -- Source: Scopus |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work