title: [Laparoscopic lymphadenectomy as treatment of endometrial cancer].
abstract: OBJECTIVE
  This study compares the effects of laparoscopic lymphadenectomy versus those of abdominal lymphadenectomy in patients with endometrial cancer.
  
  
  METHODS
  A prospective randomized study was performed among 80 patients randomly assigned to laparoscopic lymphadenectomy and to abdominal lymphadenectomy in the treatment of endometrial cancer. Clinical outcomes and complications were compared for 1 year of follow-up.
  
  
  RESULTS
  Forty patients were assigned to laparoscopic lymphadenectomy and 40 patients to abdominal lymphadenectomy. The laparoscopic approach was associated with a longer operative time (234.1 min vs 137.3 min) but was less painful (VAS 5.3 vs 7.9; P<0.000) and resulted in a shorter hospital stay (4.4+/-1 vs 7.9+/-1.2 days; P<0.000). At 6 weeks the quality of life was better in patients who had laparoscopic lymphadenectomy (SF-12).
  
  
  CONCLUSIONS
  Laparoscopic lymphadenectomy was associated with a significantly lower rate of major and minor postoperative complications and a better short term quality of life.
authors.affiliation: Dipartimento di Medicina Sperimentale e Clinica Facoltà di Medicina e Chirurgia, Cattedra di Ginecologia e Ostetricia, Università degli Studi di Catanzaro Magna Graecia, Catanzaro, Italy. morelli.mi@libero.it
authors.forename: M
authors.initials: M
authors.lastname: Morelli
authors.forename: R
authors.initials: R
authors.lastname: Noia
authors.forename: A
authors.initials: A
authors.lastname: Costantino
authors.forename: D
authors.initials: D
authors.lastname: Chiodo
authors.forename: R
authors.initials: R
authors.lastname: Mocciaro
authors.forename: M
authors.initials: M
authors.lastname: Caruso
authors.forename: C
authors.initials: C
authors.lastname: Cosco
authors.forename: E
authors.initials: E
authors.lastname: Lucia
authors.forename: B
authors.initials: B
authors.lastname: Curcio
authors.forename: G
authors.initials: G
authors.lastname: Gullì
authors.forename: G
authors.initials: G
authors.lastname: Amendola
authors.forename: F
authors.initials: F
authors.lastname: Zullo
mesh_terms: D000328:Adult; D000368:Aged; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision / Q000379:methods*; D008875:Middle Aged; D011446:Prospective Studies