TITLE:
Laparoscopic versus laparotomy approach to endometrial cancer: A prospective study
AUTHORS:
López-De la Manzanara Carlos, Martín-Francisco Cástor, Luengo-Tabernero Ángel, Garrido-Esteban Rosa Ana, León-Martín Alberto, Haya-Palazuelos Javier
KEYWORDS:
Endometrial Cancer; Laparoscopy; Laparotomy; Minimally Invasive Surgery; Survival
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.4,
June
3,
2013
ABSTRACT:
Objective: The aim of this study was to compare laparoscopic (LPS) and laparotomy (LPT) approaches for endometrial cancer, and to assess intraoperative and postoperative results, disease-free survival and overall survival. Methods: We designed a prospective observational study, every patient diagnosed of endometrial cancer and subsidiary to surgical staging was included. Total hysterectomy, bilateral adnexectomy, pelvic lymphadenectomy were performed in every case. Paraaortic lymphadenectomy was performed depending on tumor histology. Results: 70 patients with endometrial cancer were enrolled, 49 (70%) were treated laparoscopically and 21 (30%) laparotomically. There was not statistical significant difference in the mean operative time, it was 183.06 ± 21.03 min (range 120 - 230) in the LPS group and 195.24 ± 28.39 min (range 130 - 240) in the LPT group, mean difference 12.16 (95% CI ﹣0.2 - 24). There was no difference in the number of lymph nodes resected. Mean blood loss was lower in the LPS group. There were less postoperative complications, 3 (6.12%) in the LPS group and 7 (33.3%) in the LPT group (p Conclusion: Laparoscopic approach for endometrial cancer offers similar results in terms of survival and oncological radicality as the laparotomic approach and a lower rate of complications, a quicker convalescence time and a shorter hospital stay.