[Laparoscopic approach in endometrial cancer: current data and evidence].
Endometrial cancer is the most common gynecologic malignancy in Switzerland. Nowadays the gold standard for the treatment of endometrial cancer is total abdominal hysterectomy, bilateral salpingo-oophorectomy and in most cases pelvic and para-aortic lymphadenectomy. However, the use of minimally invasive surgical techniques has increased in recent years. Several prospective, randomized trials demonstrate the safety, feasibility and effectiveness of laparoscopy; the impact on survival and disease-free survival is equivalent to that of laparotomy. In future, laparoscopy and maybe robotic surgery could be effective in a selected population. Until then, further large-scale, prospective multicenter studies with longer follow-ups are required to confirm the current data.
Imesch
Patrick
P
Klinik fur Gynakologie, Departement Frauenheilkunde, Universitatsspital Zurich, Frauenklinikstrasse 10, Zurich, Switzerland. patrick.imesch@usz.ch
Dedes
Konstantin
K
Fink
Daniel
D
D002986:Clinical Trials as Topic; D016889:Endometrial Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data*; D015995:Prevalence; D012371:Robotics / Q000706:statistics & numerical data; D013557:Switzerland; D016896:Treatment Outcome