Short term outcome of laparoscopic versus open abdominal hysterectomy with pelvic lymphadenectomy for early-stages of endometrial cancer

the aim of this study was to compare the operative, post-operative, and the oncological short term outcomes of laparoscopic hysterectomy with lymphadenectomy and open abdominal hysterectomy with lymphadenectomy for early stage endometrial cancer.Methods: 40 patients with clinical stage I endometrial cancer were enrolled in this trial, they were divided according to their selection of the method of intervention after counseling into two groups: total laparoscopic hysterectomy with pelvic lymphadenectomy group (TLH) and total abdominal hysterectomy with pelvic lymphadenectomy (TAH) group.Results: The mean operative time in the (TLH) group was 140.85± 10.033 minutes and was 118.45± 12.713 minutes in the (TAH) group (p <0.001). The mean blood loss in the (TLH) group was [127.5± 42.9 ml] and [220.5± 84.82 ml] in (TAH) group (p <0.001). The mean duration of postoperative ileus was 12.8± 5.022 hours in the (TLH) group and it was 22.3± 5.573 hours in the (TAH) group (p <0.001). The mean time of hospital stay in the (TLH) group was [26.7± 5.667 hours] and in the (TAH) group was [116.4± 17.31 hours] (p <0.001).Conclusions: Complete surgical staging of endometrial cancer can be performed using laparoscopy as an alternative to routine open method with similar efficacy about nodal retrieval and complication rate, and better operative and postoperative compliance in means of blood loss, ileus and hospital stay which may have an implication on cost saving in the medical service. Lymphadenectomy can be omitted in low risk cases of endometrial cancer..