title: [Survival by surgical approach in patients with endometrial adenocarcinoma treated in Navarra in the 2001-2009].
abstract: BACKGROUND
  Endometrial adenocarcinoma is the most frequent gynaecological neoplasia after breast cancer and represents 6% of cancers in women. The treatment for this disease is surgery. The majority of cases are diagnosed in their initial stages and surgery is curative; on other occasions it is necessary to add radiotherapy and chemotherapy. The classical treatment for endometrial adenocarcinoma is hysterectomy with double adnexectomy by laparotomy, with the addition of pelvic and para-aortic lymphadenectomy and omentectomy according to the characteristics of the case. During the last 10-15 years laparoscopy has been introduced in the surgical treatment of endometrial adenocarcinoma. The main aim of this study is to analyze the cases of endometrial adenocarcinoma treated surgically in the former Virgen de Camino Hospital (nowadays the Hospital Complex of Navarra) during 2001-2009.
  
  
  METHODS
  Historical cohort of 444 patients with endometrial adenocarcinoma during 2001-2009 who received surgical treatment, followed four years.
  
  
  CONCLUSIONS
  The results confirm that laparoscopy is a safe alternative to classical laparotomy as it does not affect either survival or time free of disease, in both endometrioid adenocarcinoma and non-endometrioid adenocarcinoma.
authors.affiliation: Servicio de Obstetricia y Ginecología, Hospital García Orcoyen, Estella, 31200, Spain. maria.ibarrola.vidaurre@cfnavarra.es.
authors.forename: M
authors.initials: M
authors.lastname: Ibarrola Vidaurre
authors.forename: J C
authors.initials: JC
authors.lastname: Muruzábal Torquemada
authors.forename: A
authors.initials: A
authors.lastname: Aguirre Gorospe
authors.forename: V
authors.initials: V
authors.lastname: Segura Ortega
authors.forename: O
authors.initials: O
authors.lastname: Tarrio Fernández
authors.forename: S
authors.initials: S
authors.lastname: Lapeña Calavia
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality* / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D016889:Endometrial Neoplasms / Q000401:mortality* / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008875:Middle Aged; D013030:Spain; D015996:Survival Rate; D013997:Time Factors