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Comparing Laparoscopy and Laparotomy Procedures in the Radical Hysterectomy Surgery for Endometrial Cancer: A Basic Review



Haddad S1 ; Ghadimi K2 ; Abrishamkar R1 ; Asl NSM3
Authors
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Authors Affiliations
  1. 1. Najafabad Branch, Islamic Azad University, Najafabad, Isfahan, Iran
  2. 2. Department of Research, School of Medicine, Isfahan University of Medical Sciences Cancer Center, Isfahan, Iran
  3. 3. Post-doc Research Position at Baylor College of Medicine, Huston, TX, United States

Source: American Journal of Translational Research Published:2021

Abstract

Gynecological cancers especially endometrial cancer have put a huge burden on health care systems in different societies. In this regard, different studies have evaluated screening, diagnosis and treatments of endometrial cancer. Different survival rates, prognosis and recurrence rates have been reported by variable treatment methods. Laparotomy and laparoscopic radical hysterectomy (RH and LRH) are nowadays two most common surgical methods for endometrial cancer. In this systematic review, we investigated all article comparing two treatment techniques regarding RH and LRH in women with endometrial cancer who were classified as International Federation of Gynecology and Obstetrics (FIGO) stage I to III. Data regarding to blood loss and transfusion rate, operative time, duration of hospital stay, complications as intraoperative and postoperative, mean nodules counts, recurrent rate, adjuvant therapy were collected and analyzed. After reviewing five cohort studies, we indicated that laparoscopic procedures were better than laparotomy for managing endometrial cancer because the duration of hospitalization, blood loss and intraoperative and postoperative complications in laparoscopy procedure were lower than laparotomy procedures. © 2021 E-Century Publishing Corporation. All rights reserved.
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