Archives of Gynecology and Obstetrics

, Volume 286, Issue 1, pp 167–172

Laparoscopic and laparotomic approaches for endometrial cancer treatment: a comprehensive review

  • Ingolf Juhasz-Böss
  • Hisham Haggag
  • Sascha Baum
  • Stephanie Kerl
  • Achim Rody
  • Erich Solomayer
Gynecologic Oncology

DOI: 10.1007/s00404-012-2254-1

Cite this article as:
Juhasz-Böss, I., Haggag, H., Baum, S. et al. Arch Gynecol Obstet (2012) 286: 167. doi:10.1007/s00404-012-2254-1

Abstract

Objective

Endometrial cancer (EC) is the most common gynecological malignancy in the developed world, particularly among postmenopausal women. Endoscopic surgery is gaining more popularity among surgeons as a safe and feasible option for treatment of endometrial carcinoma, providing the possibility of adequate lymph node excision.

Methods

A comprehensive review.

Results

The advantages of laparoscopy prevail over laparotomy and authors report lower peri-operative complication rates, less blood loss, lower transfusion rates, and shorter hospital stay, as well as a better quality of life (QoL) after laparoscopic surgery, in contrast to conventional abdominal surgery. This was confirmed by a meta-analysis of four randomized controlled studies. This is also true for obese risky patients to whom laparotomies carry indolent side effects. In addition, with more training and experience this procedure would be even more feasible and safer.

Conclusions

Because of the increasing importance of economic efficiency in health care, the endoscopic approach will continue to play a more important role in the future treatment of EC providing a better treatment option for the coming patients. As a promising therapeutical option, it should be offered to all patients with an early-stage EC.

Keywords

Endometrial cancer Therapy Laparoscopy Peri-operative complication Oncological safety 

Abbreviations

EC

Endometrial carcinoma

MRI

Magnetic resonance imaging

FIGO

International Federation of Gynecology and Obstetrics

LNE

Lymphadenectomy (lymph node excision)

QoL

Quality of life

BMI

Body mass index

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Ingolf Juhasz-Böss
    • 1
  • Hisham Haggag
    • 1
    • 2
  • Sascha Baum
    • 1
  • Stephanie Kerl
    • 1
  • Achim Rody
    • 1
  • Erich Solomayer
    • 1
  1. 1.Department of Obstetrics and GynecologyUniversity of SaarlandHomburgGermany
  2. 2.Department of Obstetrics and Gynecology, Kasr AlAini Hospital, Faculty of MedicineCairo UniversityCairoEgypt

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