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.
Perrone A.M., Di Marcoberardino B., Rossi M., Pozzati F., Pellegrini A., Procaccini M., et al. (2012). Laparoscopic versus laparotomic approach to endometrial cancer. EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY, 33(4), 376-381.
Laparoscopic versus laparotomic approach to endometrial cancer
Perrone A. M.;De Iaco P.
2012
Abstract
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
