Endometrial Kanser Cerrahisinde Laparoskopi ile Laparotominin Karşılaştırılması.

Aim: Endometrial carcinoma is the most frequent gynecologic malignancy in Turkey, among United States and Europe. Life time risk of a patient to have endometrial carcinoma is 3-4% Endometrial carcinoma is staged and treated the mostly preferred surgical method is open surgery. Aim of this study is to compare open surgery and laparoscopic surgery for treatment and surgical staging of endometrial carcinoma. Materials and Method: We included a total number of 57 patients with the diagnosis of endometrial carcinoma, including 29 cases operated with laparoscopic surgery and 28 cases operated with open surgery. In this study, we compared the groups in terms of age, body mass index, perioperative and postoperative complications, total lymph node number, operation time, length of hospital stay, pre and post-operative hemoglobin values. Results: There were no significant differences between the two groups among demographic and anthropometric measures. Parity was higher among the open surgery arm and this was statistically significant. There were no significant differences between the two groups in terms of operation time, blood loss, pre and post-operative hemoglobin values, intra and post operative complications. Length of hospital stay was significantly shorter in the laparoscopically managed cases than the open surgery arm. However, total number of lymph nodes dissected were significantly higher in the open surgery group. Conclusion: Laparoscopic surgery is a reliable and a feasible surgical technique in cases with the diagnosis of endometrial carcinoma. Shorter stay at hospital seems to be advantageous in teims of quality of life. Despite that, laparoscopy seems to be disadvantageous for cases with high stage, high grade, agressive type disease, because of lower nimbers of dissected lymph nodes. [ABSTRACT FROM AUTHOR]