Comparison of the laparoscopic versus conventional open method for surgical staging of endometrial carcinoma
Journal
Taiwanese Journal of Obstetrics and Gynecology
Journal Volume
55
Journal Issue
2
Pages
188-192
Date Issued
2016
Author(s)
Abstract
Objective: Although laparoscopic surgery is widely utilized in the treatment of endometrial cancer, its efficacy in staging the cancer is not well established. The aim of this study was to compare staging endometrial cancer with laparoscopic and conventional open methods. Materials and Methods: From January 2002 to June 2012, 151 patients (70 treated by laparoscopy and 81 by laparotomy) diagnosed with endometrial cancer were enrolled. This was a retrospective cohort review of endometrial cancer surgically staged using laparoscopy or laparotomy in the Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan. Results: The two groups did not significantly differ in patient age, body mass index, previous obstetrical history, or amount of previous abdominal surgery. No differences between the surgical cohorts were observed in relation to cancer status, including stage, grade, myometrial invasion, lymphovascular space invasion, lymph node involvement, and recurrence rate. The laparoscopic approach had less intraoperative blood loss, longer operative time, lower uterine weight, number of removed lymph nodes, and shorter hospital stay. Conclusion: Our preliminary results showed that the laparoscopic method for staging endometrial cancer was technically feasible and efficient. ? 2016 .
SDGs
Other Subjects
antineoplastic agent; adult; age; aged; Article; bladder injury; bladder perforation; blood transfusion; body mass; brachytherapy; cancer adjuvant therapy; cancer chemotherapy; cancer grading; cancer radiotherapy; cancer recurrence; cancer staging; cancer surgery; cancer survival; cohort analysis; controlled study; conventional open method; cystic lymphangioma; endometrium carcinoma; external beam radiotherapy; female; follow up; human; ileus; intermethod comparison; laparoscopic surgery; length of stay; long term survival; lymph node dissection; lymph node metastasis; major clinical study; morbidity; multimodality cancer therapy; operation duration; overall survival; patient safety; pelvis lymphadenectomy; postoperative complication; postoperative hemorrhage; progression free survival; recurrence risk; retrospective study; surgical infection; surgical technique; tumor volume; urinary tract infection; uterus surgery; uterus weight; vaginitis; carcinoma; comparative study; Endometrial Neoplasms; laparoscopy; lymph node dissection; middle aged; operative blood loss; organ size; pathology; procedures; secondary; tumor invasion; tumor recurrence; uterus; very elderly; Adult; Aged; Aged, 80 and over; Blood Loss, Surgical; Carcinoma; Endometrial Neoplasms; Female; Humans; Laparoscopy; Length of Stay; Lymph Node Excision; Lymphatic Metastasis; Middle Aged; Neoplasm Grading; Neoplasm Invasiveness; Neoplasm Recurrence, Local; Neoplasm Staging; Operative Time; Organ Size; Retrospective Studies; Uterus
Type
journal article