articleJournal of Clinical OncologyOct 5, 2009Closed access

Laparoscopy Compared With Laparotomy for Comprehensive Surgical Staging of Uterine Cancer: Gynecologic Oncology Group Study LAP2

JLJoan L. WalkerMPMarion PiedmonteNMNick M. SpirtosSMScott M. EisenkopJBJohn B. Schlaerth

Gynecologic Oncology Group

PubMed
Indexed incrossrefpubmed

Abstract

PURPOSE: The objective was to compare laparoscopy versus laparotomy for comprehensive surgical staging of uterine cancer. PATIENTS AND METHODS: Patients with clinical stage I to IIA uterine cancer were randomly assigned to laparoscopy (n = 1,696) or open laparotomy (n = 920), including hysterectomy, salpingo-oophorectomy, pelvic cytology, and pelvic and para-aortic lymphadenectomy. The main study end points were 6-week morbidity and mortality, hospital length of stay, conversion from laparoscopy to laparotomy, recurrence-free survival, site of recurrence, and patient-reported quality-of-life outcomes. RESULTS: Laparoscopy was initiated in 1,682 patients and completed without conversion in 1,248 patients…

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Topics & keywords

Topics
Keywords
  • Medicine
  • Laparotomy
  • Laparoscopy
  • Uterine cancer
  • Surgery
  • Endometrial cancer
  • Stage (stratigraphy)
  • Hysterectomy
UN Sustainable Development Goals
  • Good health and well-being
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