Laparoscopic surgery vs laparotomy for early stage endometrial cancer: long-term data of a randomized controlled trial

Am J Obstet Gynecol. 2009 Mar;200(3):296.e1-9. doi: 10.1016/j.ajog.2008.10.056. Epub 2009 Jan 24.


Objective: The purpose of the study was to compare the long-term safety and efficacy of laparoscopic surgery and laparotomy approaches to early stage endometrial cancer.

Study design: This was a prospective long-term extension study of a randomized controlled study that included 84 patients with clinical stage I endometrial cancer (laparoscopic surgery group, 40 women; laparotomy group, 38 women). Safety and efficacy data were evaluated and analyzed by the intention-to-treat principle.

Results: After a follow-up period of 78 months (interquartile range, 7; range, 19-84 months) and 79 months (interquartile range, 6; range, 22-84 months) for laparoscopic surgery and laparotomy groups, respectively, no difference in the cumulative recurrence rates (8/40 [20.0%] and 7/38 [18.4%]; P = .860) and deaths (7/40 [17.5%] and 6/38 [15.8%] patients; P = .839) was detected between groups. No significant differences in overall (P = .535) and disease-free (P = .512) survival were observed.

Conclusion: The laparoscopic surgery approach to early stage endometrial cancer is as safe and effective a procedure as the laparotomy approach.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Disease-Free Survival
  • Endometrial Neoplasms / mortality*
  • Endometrial Neoplasms / pathology
  • Endometrial Neoplasms / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Kaplan-Meier Estimate
  • Laparoscopy / mortality*
  • Laparotomy / mortality*
  • Neoplasm Recurrence, Local / mortality
  • Neoplasm Staging
  • Prospective Studies
  • Time Factors