The Comparison of Conventional and Advanced Bipolar Energy Modalities During Laparoscopic Staging Surgery of Gynecologic Cancers

The Impact of Bipolar Energy Modalities on Peri-operative Outcome During Laparoscopic Staging Surgery of Gynecologic Cancers: A Randomized Clinical Trial

This single-institution prospective randomized clinical trial will be performed at the Gynecologic Oncology clinic of Ankara University. Patients with endometrial cancer and cervix cancer who will be operated for staging via laparoscopic approach will be included in the study. The included patients will be randomized to two groups before surgery. During the operation of first group instruments with advanced bipolar energy will be used during lymphadenectomy and hysterectomy and salpingo-oophorectomy. In the second group the operation will be performed by conventional bipolar energy forceps. The outcome parameters to be measured are intra-operative bleeding, duration of operation, intraoperative complications, postoperative pain score, postoperative complications, postoperative duration of hospitalization, late complications such as lymphocele formation and costs.

Inclusion Criteria:

• Pathologic diagnosis of endometrial or cervix cancer
• Stage I, IB1, IIA1 cervix cancer or patients with partial or complete response to chemoradiotherapy
• Clinically stage I and II endometrial cancer

Exclusion Criteria:

• Hematologic abnormality
• Coagulation disorder
• Present or past thromboembolic disease
• ECOG performance >2
• Advanced stage disease
• Fertility preserving surgery