Comparison of different approaches in surgical management of early endometrial cancer

The objective is to assess the feasibility of laparoscopy in the treatment of endometrial carcinoma and to compare operating data and morbidity to laparotomy. Retrospective review of 70 consecutive patients with supposed early endometrial cancer managed between December 2000 and December 2005. Two g...

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Bibliographic Details
Published inBulletin du cancer Vol. 94; no. 11; p. 1003
Main Authors Bats, Anne-Sophie, Chatellier, Gilles, Clément, Denys, Larousserie, Florence, Lefrère-Belda, Marie-Aude, Lecuru, Fabrice, Nos, Claude
Format Journal Article
LanguageFrench
Spanish
Published France 01.11.2007
Subjects
Adult
Aged
Aged, 80 and over
Endometrial Neoplasms - pathology
Endometrial Neoplasms - surgery
Feasibility Studies
Female
Humans
Laparoscopy - adverse effects
Laparoscopy - statistics & numerical data
Laparotomy - adverse effects
Laparotomy - statistics & numerical data
Length of Stay
Lymph Node Excision
Middle Aged
Retrospective Studies
Time Factors
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Summary:The objective is to assess the feasibility of laparoscopy in the treatment of endometrial carcinoma and to compare operating data and morbidity to laparotomy. Retrospective review of 70 consecutive patients with supposed early endometrial cancer managed between December 2000 and December 2005. Two groups were defined, whether they had been operated by laparoscopy (N = 44 ; LPS group) or by laparotomy (N = 21 ; LPM group). Both groups were comparable in mean age and body mass index. There was no significant difference in median operating time for LPS group (240 minutes [90-390]) and LPM group (195 minutes [120-600]), (p = 0.234). Intraoperative complications occurred in 2 LPS patients (4.7 %) and in 2 LPM cases (9.5 %). Women who underwent laparoscopy had more pelvic lymph nodes removed (11.5 [2-33] versus 7.5 [3-37], p < 0.05). There were comparable early and late postoperative complications in patients managed by laparoscopy (5 and 0 cases ; 27.8 and 0 %) and by laparotomy (5 and 2 cases ; 11.6 and 4.5 %), (p = 0.143 and p > 0.999). Hospital stay was longer in LPM group (9.5 days [6-39] versus 5.0 (4-27), p < 0.05). Patients who undergo laparoscopy have more pelvic lymph nodes removed, with comparable operating time, shorter hospital stay, and similar morbidity. Laparoscopic staging combined with vaginal hysterectomy appears to be a feasible alternative to conventional surgical approach in patients with endometrial carcinoma.
ISSN:1769-6917