Abstract
Endometrial cancer is a common gynecological malignancy in women, which accounts for the second in malignant tumor of female reproductive system. Obesity, high blood pressure and diabetes are risk factors for endometrial cancer. At present, the treatments of endometrial cancer focus on surgical treatment, followed by radiotherapy, chemotherapy and endocrine therapy. The progress of surgical method is transferring from traditional laparotomy, laparoscopy, single port laparoscope to Da Vinci robotic surgery system. Different surgical options should be personalized according to the patient’s situation. We compared the pros and cons of different surgical methods and introduced the clinical value of the Sentinel lymph node mapping in hope of giving some information for clinic.
Highlights
Core tip Endometrial cancer (EC) is one of the common malignant tumors in women
We summarize the pros and cons of the different surgical method and introduced the clinical value of the Sentinel lymph node mapping in hope of providing useful information for gynecologists
Though some scholars [7] suggested that morbid obesity is a relative contraindication to laparoscopic surgery, other researchers have confirmed that even in patients with obesity or overweight, compared with laparotomy, laparoscopy still has the advantages of less bleeding, lower complication rate and shorter hospital stay, which is consistent with the results of Uccella [8]
Summary
Core tip Endometrial cancer (EC) is one of the common malignant tumors in women. It ranks the second in incidence rate among the malignant tumors of female reproductive system [1]. The prevalence rate of EC in elderly, obese, hypertensive and diabetic patients increased significantly. For those patients with EC who are in the early stage of EC, surgery is still a primary management. Endometrium cancer is one of the common malignant tumors in female genital system, surgical treatment is the main method to conquer it. We summarize the pros and cons of the different surgical method and introduced the clinical value of the Sentinel lymph node mapping in hope of providing useful information for gynecologists
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