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Surgical Endoscopy
Published in: Surgical Endoscopy 4/2010

01-04-2010

Laparoscopy or laparotomy? A comparison of 240 patients with early-stage endometrial cancer

Authors: Alessandro Santi, Annette Kuhn, Thomas Gyr, Markus Eberhard, Silke Johann, Andreas R. Günthert, Michael D. Mueller

Published in: Surgical Endoscopy | Issue 4/2010

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Abstract

Background

This study aimed to compare the safety and efficacy of laparoscopy and laparotomy in the surgical treatment of early endometrial cancer, especially in obese women.

Methods

The results obtained after laparoscopic surgical treatment of early endometrial cancer (International Federation of Gynecology and Obstetrics (FIGO) stage 1 or 2) in patients between 1996 and 2007 were compared with an age- and tumour-matched historical group of patients treated with laparotomy between 1988 and 1996. All the patients underwent hysterectomy, bilateral salpingo-oophorectomy, and pelvic ± paraaortic lymphadenectomy.

Results

Both groups included 120 patients with a preoperative diagnosis of early endometrial cancer. The postoperative diagnosis was endometrial cancer stage 1 or 2 for 89% of the cases in both groups. The mean operating time was 170 min for the laparotomy group compared with 178 min for the laparoscopy group (nonsignificant difference). The estimated intraoperative blood loss was significantly greater in the laparotomy group, and the hospital stay was significantly shorter in the laparoscopy group.

Conclusions

The results show that early endometrial cancer can be treated effectively by laparoscopy. Because of this study’s retrospective design, the results should be interpreted with caution. However, the advantages of this method for obese patients are evident. The age and weight of these patients should not be used as a contraindication for laparoscopy.
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Metadata
Title
Laparoscopy or laparotomy? A comparison of 240 patients with early-stage endometrial cancer
Authors
Alessandro Santi
Annette Kuhn
Thomas Gyr
Markus Eberhard
Silke Johann
Andreas R. Günthert
Michael D. Mueller
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 4/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-009-0565-5

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