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

Khalifa, Ahmed Aly; Ameen, Magdy; Abdelkhalek, Mostafa; Khalafalla, Mohammed; Mousa, Mahmoud; Amer, Wael

doi:10.21608/smj.2024.251858.1430

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

Document Type : Original Article

Authors

¹ obstetrics and gynecology department sohag university hospital

² Obstetrics and Gynaecolog department,faculty of medicine.sohag university

³ sohag university ,department of obstetrics and gynecology

⁴ Ain shams unveristy,surgical oncology

⁵ Sohag university ,department of obstetrics and gynecology

⁶ Sohag oncology center,surgical oncology consultant

10.21608/smj.2024.251858.1430

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 LPS and LPT 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 LPT. 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 LPS group in comparison with LPT group. The incidence of fever revealed a significant decrease in LPS group compared to LPT group as well. Hospital stay and operative time were insignificantly different between the studied groups. The incidence of fever was significantly lower in LPS group compared to LPT 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 .

Keywords: Laparoscopic Hysterectomy, Laparoscopic Lymphadenectomy, Conventional Abdominal Hysterectomy, Endometrial Cancer

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