PT  - JOURNAL ARTICLE
AU  - MICHIKO KUBO-KANEDA
AU  - EIJI KONDO
AU  - RYO NIMURA
AU  - SHINTARO MAKI
AU  - MASAFUMI NII
AU  - KENTA YOSHIDA
AU  - TOMOAKI IKEDA
TI  - Effectiveness of Laparoscopic Combined Retroperitoneal and Transperitoneal Approach in Para-aortic Lymphadenectomy for Endometrial Cancer
AID  - 10.21873/anticanres.15218
DP  - 2021 Aug 01
TA  - Anticancer Research
PG  - 4151--4155
VI  - 41
IP  - 8
4099  - http://ar.iiarjournals.org/content/41/8/4151.short
4100  - http://ar.iiarjournals.org/content/41/8/4151.full
SO  - Anticancer Res2021 Aug 01; 41
AB  - Background/Aim: This study aimed to compare laparoscopy with laparotomy and evaluate the effectiveness of a laparoscopic combined retroperitoneal and transperitoneal approach for para-aortic lymphadenectomy in patients with endometrial cancer. Patients and Methods: In this single-center retrospective study, patients with endometrial cancer who underwent para-aortic lymphadenectomy between December 2016 and November 2019 were analyzed. The patient’s clinical and pathologic data were procured from medical records. Statistical analyses were performed using Fisher’s exact and the Mann–Whitney U-tests. Results: A total of 37 and 28 patients were included in the laparoscopic and laparotomy groups, respectively. The laparoscopic group had similar operative time, similar number of resected para-aortic and pelvic lymph nodes, less intraoperative blood loss and complications, lower rate of blood transfusion, and shorter postoperative stay than the laparotomy group. Conclusion: Laparoscopic combined retroperitoneal and transperitoneal approach for endometrial cancer is safe and effective compared to laparotomy.