title: Laparoscopic and laparotomic approaches for endometrial cancer treatment: a comprehensive review.
abstract: OBJECTIVE
  Endometrial cancer (EC) is the most common gynecological malignancy in the developed world, particularly among postmenopausal women. Endoscopic surgery is gaining more popularity among surgeons as a safe and feasible option for treatment of endometrial carcinoma, providing the possibility of adequate lymph node excision.
  
  
  METHODS
  A comprehensive review.
  
  
  RESULTS
  The advantages of laparoscopy prevail over laparotomy and authors report lower peri-operative complication rates, less blood loss, lower transfusion rates, and shorter hospital stay, as well as a better quality of life (QoL) after laparoscopic surgery, in contrast to conventional abdominal surgery. This was confirmed by a meta-analysis of four randomized controlled studies. This is also true for obese risky patients to whom laparotomies carry indolent side effects. In addition, with more training and experience this procedure would be even more feasible and safer.
  
  
  CONCLUSIONS
  Because of the increasing importance of economic efficiency in health care, the endoscopic approach will continue to play a more important role in the future treatment of EC providing a better treatment option for the coming patients. As a promising therapeutical option, it should be offered to all patients with an early-stage EC.
authors.affiliation: Department of Obstetrics and Gynecology, University of Saarland, Homburg, Saar, Germany. ingolf.juhasz-boess@uks.eu
authors.forename: Ingolf
authors.initials: I
authors.lastname: Juhasz-Böss
authors.forename: Hisham
authors.initials: H
authors.lastname: Haggag
authors.forename: Sascha
authors.initials: S
authors.lastname: Baum
authors.forename: Stephanie
authors.initials: S
authors.lastname: Kerl
authors.forename: Achim
authors.initials: A
authors.lastname: Rody
authors.forename: Erich
authors.initials: E
authors.lastname: Solomayer
mesh_terms: D002277:Carcinoma / Q000601:surgery*; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010535:Laparoscopy; D009765:Obesity / Q000150:complications; D010052:Ovariectomy / Q000379:methods; D058994:Salpingectomy / Q000379:methods