Laparoscopic management of cervical and endometrial cancer in Africa: experience of the National Hospital Centre of Pikine

Authors

  • Moussa Diallo Gynecologist and Obstetrician, National Hospital of Pikine, Cheikh Anta DIOP of Dakar, Senegal
  • Abdoul Aziz Diouf Gynecologist and Obstetrician, National Hospital of Pikine, Cheikh Anta DIOP of Dakar, Senegal
  • Aminata Niass Gynecologist and Obstetrician, National Hospital of Pikine, Dakar, Senegal
  • Astou Coly Niassy Diallo Gynecologist and Obstetrician, National Hospital of Pikine, Dakar, Senegal
  • Cyr Esperence Gombet Gynecologist and Obstetrician, National Hospital of Pikine, Dakar, Senegal
  • Magatte Mbaye Gynecologist and Obstetrician, National Hospital of Pikine, Dakar, Senegal
  • Babacar Biaye Gynecologist and Obstetrician, National Hospital of Pikine, Dakar, Senegal
  • Sophie Coulbary Department of Anesthesia and Intensive Care, National Hospital of Pikine, Dakar, Senegal
  • Mori Niang Department of Anesthesia and Intensive Care, National Hospital of Pikine, Dakar, Senegal
  • Codou Sene Gynecologist and Obstetrician, National Hospital of Pikine, Dakar, Senegal
  • Anna Dia Gynecologist and Obstetrician, National Hospital of Pikine, Dakar, Senegal
  • Alassane Diouf Gynecologist and Obstetrician, National Hospital of Pikine, Dakar, Senegal

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20194869

Keywords:

Cervical cancer, Endometrial cancer, Pelvic laparoscopy, Senegal

Abstract

Background: Laparotomy represents the standard historical surgical approach to these cancers. Process of treatment of benign adnexal pathologies to the emergence of a new pathway for the management of these cancerous pathologies.

Methods: Our prospective study from December 2016 to December 2018 included 10 patients with early-stage uterine cancer and endometrial cancer confirmed by MRI. The characteristics of patients, their cancer, their intervention and morbidity were revealed.

Results: Our results show that the average age of the patients was 63 years; There were 2 cases of cervical cancer and 8 cases of endometrial cancer. For cervical cancer, it was essentially squamous cell carcinoma; one patient was at stage Ia2 and the other at stage Ib1. For endometrial cancers, squamous cell carcinoma was 80%; 6 patients were in stage IB and 2 in stage IC. Of the 10 patients undergoing surgery, 9 had laparoscopic colpohysterectomy and lymphadectomy and one complementary laparoscopic lymphadenectomy. The average number of lymph nodes removed was 9 and no lymph node metastasis was found. In the immediate postoperative period, one patient had transient urinary incontinence and another had vaginal slice lymphorhea.

Conclusions: The main interest of this practice is to be the least morbid possible for patients at the early stage. With our short experience, we obtained a reduction in operating time, a reduction in hospital stay, a decrease in the consumption of analgesics and antibiotics postoperatively and a reduction in per and postoperative complications.

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Published

2019-10-23

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Original Research Articles