Laparoscopic lymphadenectomy and vaginal or laparoscopic hysterectomy withbilateral salpingo-oophorectomy for endometrial cancer: Morbidity and survival

OBJECTIVES: Our goal was to evaluate the morbidity, recurrence, and surviva l of patients with clinical stage I endometrial cancer treated by laparosco pic lymphadenectomy with vaginal or laparoscopic hysterectomy and bilateral salpingo-oophorectomy. STUDY DESIGN: This article is a retrospective review of records far 56 pati ents. The mean follow-up among those alive at last contact was 2.4 years (r ange, 32 days-5.2 years). Staging according to the International; Federatio n of Gynecology and Obstetrics (1988) was as follows: I, 45 (80.4%); II, 3 (5.4%); III, 6 (10.7%); and IV, 2 (3.6%). RESULTS: Intraoperative complications occurred in 4 patients (7.1%). Transf ormation to laparotomy was necessary in 7 patients. Postoperative complicat ions were observed in 9 patients (16.1%). Pelvic irradiation was administer ed postoperatively to 11 patients (19.6%). Among the 45 patients with surgi cal stage I disease, the 3-year recurrence rate was 2.5% and the 3-year cau se-specific survival was 96.0%. CONCLUSIONS: Laparoscopic lymphadenectomy and vaginal or laparoscopic hyste rectomy with bilateral salpingo-oophorectomy provided 3-year survival and r ecurrence rates similar to those of the traditional abdominal approach.