Comparison of Lee-Huang Point and Umbilical Entry for Laparoscopic Success in Endometrial Cancer Patients

Dr. Lutfi Kirdar Kartal Training and Research Hospital202 enrolled

Overview

This randomized controlled trial compares Lee-Huang point entry with conventional umbilical entry for laparoscopic surgery in patients with endometrial cancer. The study aims to evaluate the success of abdominal entry, entry-related complications, operative outcomes, and perioperative safety. A total of 202 patients were randomized to either the Lee-Huang entry group or the umbilical entry group and underwent laparoscopic surgical staging. The findings are expected to provide evidence regarding the optimal primary entry technique for laparoscopic management of endometrial cancer.

This single-center prospective randomized controlled trial was conducted at the Department of Gynecologic Oncology, Kartal Dr. Lutfi Kirdar City Hospital, University of Health Sciences Turkey. Eligible patients with endometrial cancer scheduled for laparoscopic surgical staging were randomly assigned to either Lee-Huang point entry or conventional umbilical entry. The primary objective was to compare successful abdominal access and entry-related complications between the two techniques. Secondary outcomes included operative time, blood loss, conversion to laparotomy, intraoperative and postoperative complications, and other perioperative outcomes. A total of 202 patients completed the study.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

202

Conditions

Endometrial Cancer

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Female patients aged 18 years or older. * Scheduled for elective laparoscopic gynecologic surgery. * Eligible for laparoscopic abdominal entry through either the Lee-Huang point or the umbilical entry site. * Provided written informed consent. Exclusion Criteria: * Pregnancy. * Emergency surgery. * Previous upper abdominal surgery precluding safe Lee-Huang point or umbilical entry. * Contraindication to laparoscopy. * Refusal or inability to provide informed consent.

Outcomes

Primary Outcomes

Successful laparoscopic abdominal entry

Successful intraperitoneal access through the assigned entry site using direct trocar insertion without the need for conversion to another abdominal entry technique.

Time frame: During surgery

Secondary Outcomes

Entry-related complications

Incidence of bowel injury, vascular injury, and other complications related to direct trocar insertion through the assigned entry site.