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document
[ Laparoscopic lymphadenectomy as treatment of endometrial cancer ] . AIM This study compares the effects of laparoscopic lymphadenectomy versus those of abdominal lymphadenectomy in patients with endometrial cancer . METHODS A prospective randomized study was performed among 80 patients randomly assigned to laparoscopic lymphadenectomy and to abdominal lymphadenectomy in the treatment of endometrial cancer . Clinical outcomes and complications were compared for 1 year of follow-up . RESULTS Forty patients were assigned to laparoscopic lymphadenectomy and 40 patients to abdominal lymphadenectomy . The laparoscopic approach was associated with a longer operative time ( 234.1 min vs 137.3 min ) but was less painful ( VAS 5.3 vs 7.9 ; P < 0.000 ) and resulted in a shorter hospital stay ( 4.4+/-1 vs 7.9+/-1.2 days ; P < 0.000 ) . At 6 weeks the quality of life was better in patients who had laparoscopic lymphadenectomy ( SF-12 ) . CONCLUSION Laparoscopic lymphadenectomy was associated with a significantly lower rate of major and minor postoperative complications and a better short term quality of life .
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Intervention_Surgical
Laparoscopic lymphadenectomy
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Intervention_Surgical
lymphadenectomy
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Intervention_Control
lymphadenectomy
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Intervention_Surgical
laparoscopic lymphadenectomy
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Intervention_Control
abdominal lymphadenectomy
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Intervention_Surgical
lymphadenectomy
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Intervention_Control
lymphadenectomy
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Intervention_Surgical
lymphadenectomy
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Intervention_Surgical
lymphadenectomy
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Outcome_Physical
longer operative time
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Outcome_Pain
less painful
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Outcome_Other
shorter hospital stay
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Outcome_Other
quality of life
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Outcome_Physical
rate of major and minor postoperative complications
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Outcome_Other
quality of life
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Participant_Condition
endometrial cancer ]
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Participant_Condition
patients with endometrial cancer .
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Participant_Sample-size
80 patients
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Participant_Condition
laparoscopic lymphadenectomy and to abdominal lymphadenectomy in the treatment of endometrial cancer
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Participant_Sample-size
Forty patients