Article Data

  • Views 356
  • Dowloads 144

Original Research

Open Access

Laparoscopic management of early stage endometrial cancer

  • P. Litta1,*,
  • M. Fracas1
  • C. Pozzan1
  • F. Merlin1
  • C. Saccardi1
  • G. Sacco1
  • D. Mannici1

1Department of Gynaecology & Obstetrics, University of Padova, Italy

DOI: 10.12892/ejgo20030141 Vol.24,Issue 1,January 2003 pp.41-44

Published: 10 January 2003

*Corresponding Author(s): P. Litta E-mail:

Abstract

Purpose of investigation: The purpose of this study was to evaluate the feasibility of laparoscopic hysterectomy versus the transabdominal approach with systemic pelvic lymphadenectomy in early stage endometrial cancer.

Methods: From January 1996 to April 2002, 59 women were treated for endometrial cancer at the Department of Gynecology in Padova, Italy (29 by the laparoscopic technique and 30 by laparotomy). Every patient underwent hysterosalpingo-oophorectomy with systemic pelvic lymphadenectomy.

Results: Comparing the two techniques, operating time was longer and hospital stay was significantly shorter for laparoscopy; no differences were observed about the number of removed lymph nodes (range 5-33) or intra-postoperatory complications.

Conclusion: The laparoscopic approach to endometrial cancer is certainly to be considered appropriate and efficacious, even if it requires skilled surgeons and adequate oncologic training. It is important to perform pelvic lymphadenectomy in all cases of early stage cancer.

Keywords

Endometrial cancer; Laparoscopic hysterectomy; Laparotomic hysterectomy; Lymphadenectomy

Cite and Share

P. Litta,M. Fracas,C. Pozzan,F. Merlin,C. Saccardi,G. Sacco,D. Mannici. Laparoscopic management of early stage endometrial cancer. European Journal of Gynaecological Oncology. 2003. 24(1);41-44.

References

[1] Greenlee R.T., Murray T., Bolden S., Wingo P.A.: "Cancer statisties 2000". Cancer J. Clin., 2000, 50, 7.

[2] Kurman R. J.: Blaunstain's Pathology of Genital Tract, 1994, 4th ed.

[3] Barakat R. R., Park R. C., Grigsby P. W., Muss H. D., Norris H. J.: "Corpus: epithelial tumors". In: Hoskins W. J., Perez C. A., Young R. C. (eds.): "Principles and Practice of Gynaecologic Oncology". 2"d ed. Philadelphia, P.A.: Lippincott, 1997, 859.

[4] Massi G., Savino L., Susini T.: "Vaginal hysterectomy versus abdominal hysterectomy for the treatment of Stage I endometrial adenocarcinoma". Am. J. Obstet. Gynecol., 1996, 174 (4), 1320.

[5] Onnis A., Marchetti M.: "Adequate staging for an adequate management in uterine cancers. Clinical experience", Eur. J. Gyn Oneal., 1991, 12, 2.

[6] Gemignani M. L., Curtin J. P., Zelmanovich J., Patel D. A., Venkatraman E., Barakat R. R.: "Laparoscopic-assisted vaginal hysterectomy for endometrial cancer: clinical outcomes and hospital charges". Gynecol. Oneal., 1999, 73, 5.

[7] Spirtos N. M., Schlaerth J. B., Gross G. M., Spirtos T. W., Schlaerth A. C., Ballooon S. C.: "Cost and quality-of.life analyses of surgery for early endometrial cancer: laparotomy versus laparoscopy". Am. J. Obstet. Gynecol., 1996, 174 (6), 179.

[8] Bokhman J. V.: "Annual report on the results of treatment in gynecological cancer". J. Epid. Biostat., 2001, 6, 45.

[9] Childers J.M., Brzechffa P.R., Hatch K. D., Surwit E. A.: "Laparoscopically assisted surgical staging (LASS) of endometrial cancer". Gynecol. Oneal., 1993, 51, 33.

[10] Manolitsas T. P., McCartney A. J.: "Total laparoscopic hysterectomy in the management of endometrial carcinoma". J. Am. Assoc. Gynecol. Laparosc., 2002, 9 (1), 54.

[11] D. Creasman W. T., Morrow C. P., Bundy B. N., Homesley H. D., Graham J. E., Heller P. B.: "Surgical pathologic spread patterns of endometrial cancer. A Gynecologic Oncology Group Study". Cancer, 1987, 60, 2035.

[12] "Cancer Committee staging announcement". FIGG Int. J. Gynaecol. Obstet., 1989, 28, 190.

[13] F. Bremond A., Bataillard A., Thomas L., Achard J. L., Fevers B., Fondrinier E. et al.: "Federation Nationale des Centres de Lutte Contre le Cancer. Standards, opinions and recommendations for the surgical management of carcinoma of endometrium". Bull. Cancer, 2001, 88 (2), 181.

[14] G. Descamps P., Body G., Calais G., Moire C., Fignon A., Jourdain O. et al.: "Stage I and II endometrial cancer: should lynphadenectomy still be done?". J. Gynecol. Obstet. Biol. Reprod (Paris), 1995, 24 (8), 794.

[15] H. Gao Y., Yu A., Chen L.: "Place of value of pelvic lymphadenectomy for treatment of endometrial neoplasms". Zhonghua Fu Chan Ke Za Zhi, 2000, 35 (5), 264.

[16] I. Parker S. L., Tong T., Bolden S., Wingo P. A.: "Cancer statistics 1996". Cancer J. Clin., 1996, 46, 5.

[17] L. Benedetti P. P., Cutillo G., Croce C., Maneschi F., Angioli R.: "II significato della linfoadenectomia nel carcinoma dell'endometrio. Aggiornamento permanente in Ostetricia e Ginecologia, 2001, 5 (2), 49. Review ed. Pacini.

[18] Bloss J. D., Barman M. L., Bloss L. P., Buller R. E.: "Use of vaginal hysterectomy for the management of Stage I endometrial camper in the medically compromised patients". Gynecol. Oneal., 1991, 40, 74.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time

Conferences

Top