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LAPAROSCOPIC MANAGEMENT OF CARCINOMA ENDOMETRIUM  Dr. Pradeep  Garg Assistant Professor Obstetrics & Gynaecology, All India Institute of Medical Sciences New Delhi-110029 Email:pkgarg_in2004@yahoo.com
LAPAROSCOPIC HYSTERECTOMY AND LYMPHADENECTOMY FOR CARCINOMA ENDOMETRIUM VIDEO To see this video please logon to  www.youtube.com  and type pradeep garg endometrial carcinoma or http://www.youtube.com/watch?v=tB8mjaMjS8w
Endometrial carcinoma (EC) ,[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Papillary serous carcinoma ,[object Object],[object Object],[object Object]
Adverse prognostic factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgery for EC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peritoneal cytology ,[object Object],[object Object]
Omentectomy ,[object Object],[object Object],[object Object],[object Object]
LH for obese women with EC ,[object Object],[object Object],[object Object],[object Object],[object Object]
LAPAROSCOPIC HYSTERECTOMY AND LYMPHADENECTOMY FOR CARCINOMA ENDOMETRIUM VIDEO To see this video please logon to  www.youtube.com  and type pradeep garg endometrial carcinoma or http://www.youtube.com/watch?v=tB8mjaMjS8w
LAPAROSCOPIC LYMPHADENECTOMY ,[object Object],[object Object],[object Object],[object Object],[object Object]
COMPARISON OF LAPAROSCOPY AND LAPAROTOMY FOR ENDOMETRIAL CANCER   Author Patients Mean operating time (min) Mean lymph node (no.) Conversion to laparotomy / caused by complications (%) Laparoscopy         Rojke et al, 1994 33 217 18.9 5.3 Magrina et al, 1995 15 174 18.6 3.4 Gemignani et al, 1999 69 214 7 (0-14) 3.0 Total of mean 221 186 18.5 2.6 Laparotomy         Boike et al, 1994 37 194 18.7   Magrina et al, 1995 15 142 23.5   Gemignani et al, 1999 251 144 6 (0-30)   Total of mean  391 149 18  
Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LIMITATIONS  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Special considerations
Survival rate ,[object Object],[object Object]
CONCLUSIONS ,[object Object],[object Object]
[object Object],[object Object]
Thank You

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laparoscopic hysterectomy Carcinoma Endometrium (uterine carcinoma) Female Pelvic Anatomy Mob: 7289915430, www.drpradeepgarg

  • 1. LAPAROSCOPIC MANAGEMENT OF CARCINOMA ENDOMETRIUM Dr. Pradeep Garg Assistant Professor Obstetrics & Gynaecology, All India Institute of Medical Sciences New Delhi-110029 Email:pkgarg_in2004@yahoo.com
  • 2. LAPAROSCOPIC HYSTERECTOMY AND LYMPHADENECTOMY FOR CARCINOMA ENDOMETRIUM VIDEO To see this video please logon to www.youtube.com and type pradeep garg endometrial carcinoma or http://www.youtube.com/watch?v=tB8mjaMjS8w
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  • 12. LAPAROSCOPIC HYSTERECTOMY AND LYMPHADENECTOMY FOR CARCINOMA ENDOMETRIUM VIDEO To see this video please logon to www.youtube.com and type pradeep garg endometrial carcinoma or http://www.youtube.com/watch?v=tB8mjaMjS8w
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  • 14. COMPARISON OF LAPAROSCOPY AND LAPAROTOMY FOR ENDOMETRIAL CANCER Author Patients Mean operating time (min) Mean lymph node (no.) Conversion to laparotomy / caused by complications (%) Laparoscopy         Rojke et al, 1994 33 217 18.9 5.3 Magrina et al, 1995 15 174 18.6 3.4 Gemignani et al, 1999 69 214 7 (0-14) 3.0 Total of mean 221 186 18.5 2.6 Laparotomy         Boike et al, 1994 37 194 18.7   Magrina et al, 1995 15 142 23.5   Gemignani et al, 1999 251 144 6 (0-30)   Total of mean 391 149 18  
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