World Journal of Oncology, ISSN 1920-4531 print, 1920-454X online, Open Access
Article copyright, the authors; Journal compilation copyright, World J Oncol and Elmer Press Inc
Journal website http://www.wjon.org

Original Article

Volume 4, Number 6, December 2013, pages 235-240

Surgical Staging of Early Stage Endometrial Cancer: Comparison Between Laparotomy and Laparoscopy

Figures

Figure 1.
Figure 1. The decreasing duration of laparoscopic operation (minutes) among the years; number of operated patient shown with “n”.
Figure 2.
Figure 2. Laterality specific lymph node count between LS and LT.
Figure 3.
Figure 3. There is no statistical difference between groups for DFS.

Tables

Table 1. The Demographic, Histopathologic Type and Intraoperative Measures of Patients
 
Laparoscopy (n = 21)Laparotomy (n = 58)P value
BMI: body mass index; min.: minutes; sd: standard deviation. *P < 0.05.
Age (years), mean (range)56 (46-66)54 (43-65)0.47
BMI, kg/m2, mean (± sd)26.8 (± 2.1)26.7 (± 2.6)0.85
Tumor histology, n (%)
  Endometrioid17 (80.9%)53 (91.3%)0.21
  Others4 (19.1%)5 (8.7%)
Tumor grade, n (%)
  Ι12 (22.2%)42 (77.8%)0.21
  ΙΙ9 (39.1%)14 (60.9%)
  ΙΙΙ02 (100%)
Duration of operation (min.), mean (range)180.47 (112-248)169.65 (123-215)0.4
Intraoperative bleeding (mL), mean (± sd)136.6 (± 33.9)245.6 (± 68.7)< 0.0001*
Postoperative complications
  Ileus32
  Wound infection04
  Evisceration01
  Iliac artery injury12
  Overall, n (%)4 (14.2%)9 (15%)
Hospitalization period (day), mean (± sd)5 (± 1.3)8.5 (± 1.7)< 0.0001*

 

Table 2. Lymph Node Features of Operations
 
Laparoscopy (n = 21)Laparatomy (n = 58)P value
sd: standard deviation. P < 0.05.
Pelvic lymphadenectomy, n (%)21 (100%)58 (100%)
Dissected pelvic lymph node count, mean (± sd)9.2 (± 4.8)8.9 (± 5.3)0.8
Paraaortic lymphadenectomy, n (%)6 (28.5%)27 (46.5%)
Dissected paraaortic lymph node count, mean (± sd)3.1 (± 5.6)4.1(± 6)0.51