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Laparoscopic versus laparotomic approach to endometrial cancer
A. M. Perrone1,*, B. Di Marcoberardino1, M. Rossi1, F. Pozzati2, A. Pellegrini1, M. Procaccini1, D. Santini2, P. De Iaco1
1 Department of Obstetrics and Gynecology, Unit of Oncologic Gynecology, S. Orsola-Malpighi Hospital Bologna
2 Department of Pathology, S. Orsola-Malpighi Hospital, Bologna (Italy)
Eur. J. Gynaecol. Oncol. 2012, 33(4), 376–381;
Published: 10 August 2012
Objective: The aim of our study was to compare the feasibility, morbidity, long-term safety, disease-free survival, and overall survival of the laparoscopic (LPS) approach to early-stage endometrial cancer (EC) compared to the traditional laparotomic approach. Methods: We reviewed retrospective data of patients who underwent primary surgery from 1997 to 2009. We recorded clinical parameters, surgical stage, histological type, operative and peri-operative complications, time to resumption of normal functions, conversion to laparotomy, overall survival, and disease-free survival. Results: LPS, did not increase operative risk and peri-operative complications even in obese and older women. The number of pelvic lymph and aortic nodes removed was similar for the two groups. One hundred and eight patients had a follow-up of 60 months. The two groups were similar for disease-free survival and overall survival. Conclusions: Laparoscopic approach to EC provides a reduction in postoperative complications and hospital stay compared to the laparotomic approach.