Clinical Analysis of Laparoscopic Surgery in the Treatment of 32 Cases of Endometrial Cancer

Abstract

Objective To investigate the clinical outcome of laparoscopic surgery in women with endometrial cancer.Methods 32 patients who received laparoscopic surgery form February 2004 to December 2008 in Peking University People Hospital were retrospectively reviewed and compared with the patients received traditional laparotomy.Results The blood loss(345.31±276.60)ml vs(568.75±345.62)ml(P0.05),and lymph node counts 20.53±8.35 vs 30.41±11.17(P0.05)were significantly reduced in the laparoscopic group,but no significant difference in the operative time(P=0.375).The time of bowel function recovery(1.91±0.86)days vs(2.91±1.67)days(P0.01),and hospital stay(17.22±6.19)days vs(21.72±6.84)days(P=0.002),were also significantly reduced in the laparoscopic group.Postoperative complications such as pelvic lymph cyst and poor wound healing were more common in the laparotomy group.The progress-free survival rate,overall survival rate and recurrence rate are similar between the two groups.Conclusions Laparoscopic surgery is a minimally invasive surgery for the early stage endometrial cancer with less blood loss,fewer postoperative complications and long term prognosis of patients need to be studied.