TY - JOUR
T1 - Comparison of the laparoscopic versus conventional open method for surgical staging of endometrial carcinoma
AU - Chu, Ling Hui
AU - Chang, Wen Chun
AU - Sheu, Bor Ching
N1 - Publisher Copyright:
© 2016 .
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Objective: Although laparoscopic surgery is widely utilized in the treatment of endometrial cancer, its efficacy in staging the cancer is not well established. The aim of this study was to compare staging endometrial cancer with laparoscopic and conventional open methods. Materials and Methods: From January 2002 to June 2012, 151 patients (70 treated by laparoscopy and 81 by laparotomy) diagnosed with endometrial cancer were enrolled. This was a retrospective cohort review of endometrial cancer surgically staged using laparoscopy or laparotomy in the Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan. Results: The two groups did not significantly differ in patient age, body mass index, previous obstetrical history, or amount of previous abdominal surgery. No differences between the surgical cohorts were observed in relation to cancer status, including stage, grade, myometrial invasion, lymphovascular space invasion, lymph node involvement, and recurrence rate. The laparoscopic approach had less intraoperative blood loss, longer operative time, lower uterine weight, number of removed lymph nodes, and shorter hospital stay. Conclusion: Our preliminary results showed that the laparoscopic method for staging endometrial cancer was technically feasible and efficient.
AB - Objective: Although laparoscopic surgery is widely utilized in the treatment of endometrial cancer, its efficacy in staging the cancer is not well established. The aim of this study was to compare staging endometrial cancer with laparoscopic and conventional open methods. Materials and Methods: From January 2002 to June 2012, 151 patients (70 treated by laparoscopy and 81 by laparotomy) diagnosed with endometrial cancer were enrolled. This was a retrospective cohort review of endometrial cancer surgically staged using laparoscopy or laparotomy in the Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan. Results: The two groups did not significantly differ in patient age, body mass index, previous obstetrical history, or amount of previous abdominal surgery. No differences between the surgical cohorts were observed in relation to cancer status, including stage, grade, myometrial invasion, lymphovascular space invasion, lymph node involvement, and recurrence rate. The laparoscopic approach had less intraoperative blood loss, longer operative time, lower uterine weight, number of removed lymph nodes, and shorter hospital stay. Conclusion: Our preliminary results showed that the laparoscopic method for staging endometrial cancer was technically feasible and efficient.
KW - Endometrial carcinoma
KW - Laparoscopy
KW - Staging
UR - http://www.scopus.com/inward/record.url?scp=84961279198&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84961279198&partnerID=8YFLogxK
U2 - 10.1016/j.tjog.2016.02.007
DO - 10.1016/j.tjog.2016.02.007
M3 - Article
C2 - 27125400
AN - SCOPUS:84961279198
SN - 1028-4559
VL - 55
SP - 188
EP - 192
JO - Taiwanese Journal of Obstetrics and Gynecology
JF - Taiwanese Journal of Obstetrics and Gynecology
IS - 2
ER -