Total Laparoscopic Hysterectomy with Laparoscopic Lymphadenectomy versus Conventional Abdominal Hysterectomy with Lymphadenectomy for Early-Stage Endometrial Cancer: A Prospective Randomized Study

Abstract

: Background: Endometrial cancer is the commonest gynecological neoplasm in developed nations. The current study aimed at comparing, in a series of females the usefulness, security as well as morbidity of total Laparoscopic and Laparoscopic for early-stage EC. Methods: This prospective randomized study of 50 females with clinical stage I endometrial carcinoma. cases were classified into 2 equal groups: group 1 was managed by total LPS, and group 2 were treated with Laparoscopic. At admission, each woman was subjected to a gynecological and rectal examination, US and hysteroscopic evaluation. biopsies from the endometrium, chest X-ray, and MRI and/ or CT scan. LN dissection was done in selected patients in both groups. Results: Characteristics of the studied groups (Hb decline, blood loss and time of postoperative ileus) revealed significant reduction in the Laparoscopic group in comparison with Laparoscopic group. The incidence of fever revealed a significant decrease in Laparoscopic group compared to Laparoscopic group as well. Hospital stay and operative time were insignificantly different between the studied groups. The incidence of fever was significantly lower in Laparoscopic group compared to Laparoscopic group. Complications including (bladder and ureteric injuries, conversion to laparotomy, missed intestinal injury, postoperative hematoma, and wound infection) were insignificantly different between the studied groups. Conclusions: Laparoscopy is an appropriate method in treating early endometrial carcinoma .