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Archives of Gynecology and Obstetrics

Published in:

01-07-2012 | Gynecologic Oncology

Laparoscopic and laparotomic approaches for endometrial cancer treatment: a comprehensive review

Authors: Ingolf Juhasz-Böss, Hisham Haggag, Sascha Baum, Stephanie Kerl, Achim Rody, Erich Solomayer

Published in: Archives of Gynecology and Obstetrics | Issue 1/2012

Abstract

Objective

Endometrial cancer (EC) is the most common gynecological malignancy in the developed world, particularly among postmenopausal women. Endoscopic surgery is gaining more popularity among surgeons as a safe and feasible option for treatment of endometrial carcinoma, providing the possibility of adequate lymph node excision.

Methods

A comprehensive review.

Results

The advantages of laparoscopy prevail over laparotomy and authors report lower peri-operative complication rates, less blood loss, lower transfusion rates, and shorter hospital stay, as well as a better quality of life (QoL) after laparoscopic surgery, in contrast to conventional abdominal surgery. This was confirmed by a meta-analysis of four randomized controlled studies. This is also true for obese risky patients to whom laparotomies carry indolent side effects. In addition, with more training and experience this procedure would be even more feasible and safer.

Conclusions

Because of the increasing importance of economic efficiency in health care, the endoscopic approach will continue to play a more important role in the future treatment of EC providing a better treatment option for the coming patients. As a promising therapeutical option, it should be offered to all patients with an early-stage EC.

AGO, DKG, DGGG Diagnostik und Therapie des Endometriumkarzinoms. Interdisziplinäre S2-Leitlinie, AWMF 032/034

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Title: Laparoscopic and laparotomic approaches for endometrial cancer treatment: a comprehensive review
Authors: Ingolf Juhasz-Böss
Hisham Haggag
Sascha Baum
Stephanie Kerl
Achim Rody
Erich Solomayer
Publication date: 01-07-2012
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 1/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-012-2254-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic and laparotomic approaches for endometrial cancer treatment: a comprehensive review

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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