Comparison of laparoscopy and laparotomy in surgical staging of clinical early stage endometrial cancer: A report of early experiences from Turkey

• Published in: Journal of obstetrics and gynaecology 2012-10, Vol.32 (7), p.687-690
• Main Authors: Ta k n, S., Güngör, M., Öztuna, D., Ortaç, F.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Early stage; endometrial cancer; Endometrial Neoplasms - mortality; Endometrial Neoplasms - pathology; Endometrial Neoplasms - surgery; Feasibility studies; Female; Gynecology; Humans; Laparoscopy; Laparotomy; Lymph Node Excision; Lymph Nodes - pathology; Lymph Nodes - surgery; Lymphatic Metastasis; Lymphatic system; Medical imaging; Middle Aged; Neoplasm Recurrence, Local - epidemiology; Neoplasm Staging; Pelvis; Survival Rate; Uterine cancer; Womens health
• ISSN: 0144-3615; 1364-6893
• DOI: 10.3109/01443615.2012.696156

The objective of this study was to assess the feasibility of laparoscopy (LS) in endometrial carcinoma staging. Clinical early stage endometrial cancer patients (n = 153) staged by LS or laparotomy (LT) were compared. A total of 40 (26.1%) patients were treated by LS and 113 (73.9%) by LT. All patients underwent pelvic lymphadenectomy. Lymphadenectomy has been extended to para-aortic space in 55% of the LS group and 70% of the LT group. The majority of patients had stage I-II disease. The median numbers of removed pelvic and para- aortic lymph nodes were similar in two groups (p values 0.213 and 0.199, respectively). Body mass index (BMI) (kg/m2) was higher in the LT group (31.2 vs 27.4, p