surgical treatment of endometrial cancer and atypical hyperplasia a trend shift from laparotomy to laparoscopy手术治疗子宫内膜癌和非典型增生的趋势转变剖腹手术腹腔镜检查.pdfVIP

Hindawi Publishing Corporation Obstetrics and Gynecology International Volume 2011, Article ID 829425, 5 pages doi:10.1155/2011/829425 Clinical Study Surgical Treatment of Endometrial Cancer and Atypical Hyperplasia: A Trend Shift from Laparotomy to Laparoscopy Erik Qvigstad and Marit Lieng Department of Gynecology, Oslo University Hospital Ulleval and University of Oslo, 0407 Oslo, Norway ˚ Correspondence should be addressed to Erik Qvigstad, erik.qvigstad@uus.no Received 11 April 2011; Revised 25 May 2011; Accepted 26 May 2011 Academic Editor: Howard D. Homesley Copyright © 2011 E. Qvigstad and M. Lieng. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Laparoscopic hysterectomy has proved to be a safe alternative to open surgery in women with benign indications. Few studies compare laparotomy and laparoscopy in gynecologic oncology, and the objective of this study was to analyze the feasibility and development of laparoscopic surgery in endometrial cancer patients. Material and Methods. Records from all women having a hysterectomy due to premalignant or malignant endometrial changes during the years 2002–2009 were examined retrospectively. Results. A total of 521 hysterectomies were performed during the study period. Laparoscopy was performed in about 20% of the cases in the first two years, increasing to 83% in the last year of the period. Moreover, the laparoscopic technique was increasingly applied in older women, more obese women and in women with high-risk preoperative diagnosis, without increasing