Implementation of laparoscopic surgery for endometrial cancer: work in progress

Area of Science:

• Oncology
• Surgical Innovation
• Gynecologic Oncology

Background:

• Minimal invasive surgery is gaining traction in oncology.
• Laparoscopic surgery represents a significant advancement in gynecologic procedures.
• This study details the implementation of laparoscopic surgery in a teaching hospital setting.

Purpose of the Study:

• To compare factors influencing the choice between laparoscopic and open surgery for endometrial cancer.
• To evaluate the impact of patient characteristics and tumor factors on surgical approach selection.
• To assess the adoption rate of laparoscopic surgery for endometrial cancer over time.

Main Methods:

• Retrospective analysis of endometrial cancer patients (2010-2014).
• Comparison of factors including age, weight, histopathology, uterine size, CA-125, and FIGO stage.
• Evaluation of surgical approach (laparoscopic vs. open) based on these factors.

Main Results:

• The adoption of laparoscopic surgery for endometrial cancer increased progressively post-introduction.
• Factors like age, weight, uterine size, serum CA-125, and FIGO stage did not significantly influence surgical approach.
• Endometrial histopathology (tumor grade and histology) was the only significant factor affecting the choice between laparoscopic and open surgery.

Conclusions:

• Both laparoscopic and open surgery are safe and effective for treating endometrial cancer.
• The surgical method did not demonstrate an impact on patient survival.
• Laparoscopic surgery is recommended for all endometrial cancer patients, including obese individuals, to reduce postoperative complications.