More Support for Laparoscopic Hysterectomy for Early Endometrial Cancer
Laparoscopic or open hysterectomy without lymph node dissection for early endometrial cancer (EC) led to similar disease control and survival, a randomized study from the Netherlands showed.
The 5-year landmark analyses all favored minimally invasive surgery, including disease-free survival (DFS; 90.3% vs 84.1%), overall survival (OS; 89.2% vs 82.8%), and disease-specific survival (DSS; 95.0% vs 89.8%). Cancer recurrence rates were similar, and laparoscopic hysterectomy was not associated with port-site or wound metastases.
The results add to data from previous studies supporting total laparoscopic hysterectomy (TLH) without lymphadenectomy as a standard-of-care procedure for early endometrial cancer, concluded Marian J.E. Mourits, MD, of University Medical Center Groningen, and co-authors in Gynecologic Oncology.
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