Cerrahi kongresi kongre biLİmsel programi ve biLDİRİ Özetleri

 www.minimalinvazivjinekolojikcerrahi.org
21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
P-05 
Total laparoscopic hysterectomy experience within time period from a singe centre
Tufan Oge
1
, Metin Senturk
2
1
Eskisehir Osmangazi Üniversitesi, Kadın Hastalıkları ve Doğum Anabilim Dalı
2
Amasya Üniversitesi, Şerafettin Sabuncuoğlu Eğitim Araştırma Hastanesi, Kadın Hastalıkları ve 
Doğum
OBJECTIVE: The aim of this study was to evaluate the characteristics of patients who underwent 
total laparoscopic hysterectomy (TLH) in our clinic during the first 6 months and the last 6 
months by a single surgeon.
 
MATERIALS-METHODS: Eighty-one patients who underwent TLH between January 2016 and 
December 2016 due to benign diseases were evaluated retrospectively using age, parity,body 
mass index (BMI), indications, length of hospitalization, blood loss, and duration of operation 
time. The cases were examined in 2 groups as the first 6 months (Group 1) and the last 6 months 
(Group 2). Analysis of the data was done using t test.
 
RESULTS: The mean age for Group 1 was 50,67±6,60 years, parity 2,29±1,37, and BMI 31,99±3,84 
kg/m2. The mean age for Group 2 was 53,8±8.49 years, parity 2,69±1,44, and BMI 31,86±3,57 kg/
m2. Endometrial hyperplasia (n=42, 51.8%) was the most common indication for hysterectomy 
in 81 cases included in the study. The mean length of hospitalization for Group 1 was 2.41±0.56 
days, blood loss was 1.07±0.37 g/dl. The mean length of hospitalization for Group 2 was 2.36±0.56 
days and blood loss was 1.05±0.44 g/dl. There was no significant difference in age, parity, BMI, 
length of hospitalization, and blood loss between the two groups as Group 1 and Group 2 (p> 
0,05). The operation time for Group 1 was calculated as 100,22±16,64 minutes and the operation 
time for Group 2 was calculated as 75,81±18,45 minutes. When the operation times of Group 1 
and Group 2 total laparoscopic hysterectomies performed by a single surgeon were compared, it 
was observed that the operations performed in Group 2 were significantly decreased in duration 
(p <0,05).
 
CONCLUSION: Total laparoscopic hysterectomy is a safe and convenient method for 
gynecological diseases. Total laparoscopic hysterectomy seems safe and effective for many 
patients after adequate training. After a certain learning curve, the duration of the operation is 
shortened.
 
Keywords: Laparoscopy, laparoscopic hysterectomy, operation time, experience
 
 

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21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
 www.minimalinvazivjinekolojikcerrahi.org
P-06 
The ımpact of severe and morbid obesitiy on patients that underwent laparoscopic surgery 
for endometrial cancer
Selçuk Erkılınç
Tepecik Education and Research Hospital
AIM: To evaluate the surgical and pathological outcomes of the severe and morbid obese 
endometrial cancer patients that underwent laparoscopic surgery 
 
METHOD: Hospital database was reviewed for laparoscopic surgery between october 2016 
and December 2017. A total of 22 patients with severe and 12 patients with morbid obesity 
encountered during study period. Severe obesity was regarded as havig a BMI≥35, <40 kg/
m2 and morbid obesity was regarded as having a BMI ≥40 kg/m2. Data including age, gravida, 
comorbidities, history of abdominal operations, type of surgery, conversion to laparatomy, 
length of operation and hospital stay was recorded. Pathological findings including tumor size, 
myometrial invasion, lymphovascular invasion FIGO stage and grade was also recorded. 
 
RESULTS: There was no significant difference in demographic characteristics of the patients. 
None of the morbid obese patients underwent laparoscopic paraaortic lymphadenectomy (LA) 
and 4 of the patients with severe obesity undervent paraaortic LA. Similar lymph node counts 
was observed in both groups. Length of surgery did not differed between the severe and 
morbid obese patients. Neccesity of paraaortic LA that tecnically impossible with laparoscopy 
and bleeding were the indication for conversion to laparatomy. Termal injury by harmonic 
scalpel during paraaortic LA occured in one patient in morbid obesity group. Suturation with 
3-0 silk sutures was performed for the injury without conversion to laparatomy. Re-staging 
with paraaortic lymphadenectomy was performed to a morbid obese patient that had limited 
disease at frozen section and lympy node metastasis at final pathology. Number of lymph nodes 
retrieved did not differed between the groups. 
 
CONCLUSION: Our findings suggested that laparoscopic management of endometrial cancer in 
severe obese and morbid obese patients had similar surgical and pathological outcomes.
 
Keywords: Morbid Obesity, Laparoscopy, Endometrial Cancer
 
 
 

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 www.minimalinvazivjinekolojikcerrahi.org
21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
Table I
 
 
Table. I Characteristics of Endometrial Cancer Patients with Severe Obesity and Morbid Obesity
 
 
Table II
 
Table II. Pathologic Characteristics of the groups

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