Abstract
Aim To explore the clinical efficacy of single-hole laparoscopy combined with sentinel lymph node imaging in the treatment of early endometrial carcinoma in a special population. Method A retrospective analysis was made on the clinicopathological data of 8 patients with early endometrial carcinoma who underwent extra fascial total hysterectomy plus double adnexal resection and pelvic sentinel lymphadenectomy by transumbilical single-hole laparoscopy in Jiaxing Maternal and Child Health Hospital from Apr. 2019 to Apr. 2021. Result Single-hole laparoscopy and sentinel lymph node imaging were successfully performed in 8 patients with early endometrial carcinoma, and none of them was converted to porous or laparotomy. At the same time, all 8 patients have a high demand for body shape. All FIGO pathological grades were grade I before operation. Operation time is 160.87 ± 40.61 min, amount of bleeding is 68.75 ± 12.31 ml, the catheter was removed for 2 days, anal exhaust time is 30.13 ± 10.99 h, and postoperative hospital stay is 4.00 ± 1.07 d. There was no related organ injury during the operation, no case of blood transfusion, or case of poor wound healing. The evaluation of postoperative satisfaction was very satisfactory. Conclusion The application of single-hole laparoscopy and sentinel lymph node imaging in the treatment of early endometrial carcinoma in the special population should be safe and feasible with high satisfaction.
Highlights
In recent years, endometrial cancer shows a younger trend, and with the enhancement of people’s awareness of disease and health, most endometrial cancers are found early
The gynecological oncology team of Jiaxing Maternal and Child Health Hospital used sentinel lymph node imaging technique to reduce the difficulty of operation for endometrial cancer and combined with single-hole laparoscopy to achieve minimally noninvasive, achieving a combination of precision and beauty
They all did single-hole laparoscopic extra fascial total hysterectomy with double adnexal hysterectomy and sentinel lymph node biopsy
Summary
Endometrial cancer shows a younger trend, and with the enhancement of people’s awareness of disease and health, most endometrial cancers are found early. It brings new challenges to our gynecological oncologists for those special people, that is, those who have a high demand for their body shape, and the pursuit of accurate treatment and beauty is getting higher and higher. The gynecological oncology team of Jiaxing Maternal and Child Health Hospital used sentinel lymph node imaging technique to reduce the difficulty of operation for endometrial cancer and combined with single-hole laparoscopy to achieve minimally noninvasive, achieving a combination of precision and beauty. The treatments of 8 cases of early endometrial carcinoma are as follows:
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