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The journal «ONCOSURGERY» 2014, Vol.6, No 1

Current management of surgical treatment for endometrial cancer with laparoscopic approach

Novikova EG, Anpilogov SV

PA Herzen Moscow Cancer Research Institute
Contact: Anpilogov Sergey Vladimirovich, e-mail:

The main controversies on surgical treatment for endometrial cancer are review in the article. The indications and extent of limphadenctomy (pelvic and/or paraaortic) and surgical approach remain controversial. Adequacy and rationality of lymph node dissection are discussed mostly in patients with early endometrial cancer. Risk of regional lymph node metastasis in such patients according to different authors varies within 3-18%. Thus, many researchers recommend to abandon routine regional lymphadenectomy in the case of favorable prognostic factors. Wide-spread use of video-assisted endoscopic surgeries especially in gynecology determined its practical application in oncology. Given advantages of laparoscopic approach as alternative for laparotomy, this approach is widely used for surgical treatment of early endometrial cancer. However some specifics of these surgeries allow to doubt oncological radicality. Long-term follow-up in such patients will let one to estimate reasonably the oncological safety of video-assisted endoscopic surgeries. According to continuation of comparative studies of survival rates in patients after surgical treatment with different approaches the adaptation of laparoscopic technique of surgery according to oncological sound developed in classical surgery is necessary.

KEY WORDS: endometrial cancer, laparoscopic hysterectomy, pelvic lymphadenectomy, uterine manipulator, oncological radicality.


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