IMR Press / EJGO / Volume 24 / Issue 1 / pii/2003109

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research

Laparoscopic management of early stage endometrial cancer

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1 Department of Gynaecology & Obstetrics, University of Padova, Italy
Eur. J. Gynaecol. Oncol. 2003, 24(1), 41–44;
Published: 10 February 2003
Abstract

Purpose of investigation: The purpose of this study was to evaluate the feasibility of laparoscopic hysterectomy versus the trans­abdominal approach with systemic pelvic lymphadenectomy in early stage endometrial cancer. Methods: From January 1996 to April 2002, 59 women were treated for endometrial cancer at the Department of Gynecology in Padova, Italy (29 by the laparoscopic technique and 30 by laparotomy). Every patient underwent hysterosalpingo-oophorectomy with systemic pelvic lymphadenectomy. Results: Comparing the two techniques, operating time was longer and hospital stay was significantly shorter for laparoscopy; no differences were observed about the number of removed lymph nodes (range 5-33) or intra-postoperatory complications. Conclusion: The laparoscopic approach to endometrial cancer is certainly to be considered appropriate and efficacious, even if it requires skilled surgeons and adequate oncologic training. It is important to perform pelvic lymphadenectomy in all cases of early stage cancer.

Keywords
Purpose of investigation: The purpose of this study was to evaluate the feasibility of laparoscopic hysterectomy versus the trans-abdominal approach with systemic pelvic lymphadenectomy in early stage endometrial cancer. Methods: From January 1996 to April 2002
59 women were treated for endometrial cancer at the Department of Gynecology in Padova
Italy (29 by the laparoscopic technique and 30 by laparotomy). Every patient underwent hysterosalpingo-oophorectomy with systemic pelvic lymphadenectomy. Results: Comparing the two techniques
operating time was longer and hospital stay was significantly shorter for laparoscopy
no differences were observed about the number of removed lymph nodes (range 5-33) or intra-postoperatory complications. Conclusion: The laparoscopic approach to endometrial cancer is certainly to be considered appropriate and efficacious
even if it requires skilled surgeons and adequate oncologic training. It is important to perform pelvic lymphadenectomy in all cases of early stage cancer
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