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Cervical Cancer
Laparoscopy-Assisted Vaginal Versus Abdominal Hysterectomy in Endometrial Cancer
  1. Ho-Suap Hahn, MD*,
  2. Hyun-Ja Kim, PhD†,
  3. Seok-Geun Yoon, MD*,
  4. Woo-Chul Kim, MD*,
  5. Hong-Jun Choi, MD*,
  6. Hy-Sook Kim, MD‡,
  7. Sung-Ran Hong, MD‡,
  8. Yong-Soon Kwon, MD*,
  9. In-Ho Lee, MD*,
  10. Kyung-Taek Lim, MD*,
  11. Ki-Heon Lee, MD*,
  12. Jae-Uk Shim, MD*,
  13. Jung-Eun Mok, MD* and
  14. Tae-Jin Kim, MD*
  1. *Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine;
  2. †Department of Preventive Medicine, Hanyang University College of Medicine; and
  3. ‡Department of Pathology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea.
  1. Address correspondence and reprint requests to Tae-Jin Kim, MD, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, 1-19 Mukjeong-dong, Jung-gu, Seoul 100-380, Korea. E-mail: kimonc{at}hotmail.com.

Abstract

Introduction: The purpose of this study was to compare the efficacy of a laparoscopy-assisted surgical staging with a traditional laparotomy staging for the treatment of endometrial cancer.

Methods: We retrospectively analyzed the medical records of 465 patients with endometrial adenocarcinoma treated by surgery between January 1996 and December 2007.

Results: There were no significant differences between the laparoscopy and the laparotomy groups in age, body mass index, and histologic type. However, in the laparotomy group, grade and surgical stage were higher, the diseases were more chronic, and more postoperative adjuvant treatments were necessary. One hundred seven (76.4%) of 140 patients in the laparoscopy group and 260 (80.0%) of the 325 patients in the laparotomy group had lymphadenectomy, and the median numbers of pelvic and paraaortic lymph nodes obtained were not statistically different. The laparoscopy group showed shorter postoperative hospital stay and lower blood loss, and the operating time was also shorter than that in the laparotomy group. There was no significant difference in intraoperative or postoperative complications, and the operative technique did not influence survival rates after adjusting several confounding factors.

Conclusions: Our data of 12 years with a large number of patients show no differences in complications and impacts on survival between laparoscopy and laparotomy. Laparoscopy has advantages of shorter operating time and other advantages over laparotomy previously reported. Therefore, laparoscopy can be considered a good therapeutic option for endometrial cancer.

  • Surgical staging
  • Endometrial cancer
  • Laparoscopy
  • Laparotomy

https://doi.org/10.1111/IGC.0b013e3181bffb1b

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    Footnotes

    • This study was presented at the 94th annual congress of the Korean Society of Obstetrics and Gynecology at the Grand Hilton Seoul Hotel, Korea, on September 26, 2008, and at the 9th annual congress of the Asia Pacific Association for Gynecologic Endoscopy and Minimally Invasive Therapy at the Daegu Inter-Burgo Hotel, Korea, on October 9, 2008.