Endometrioid endometrial cancer treated with open or laparoscopic approach: is there a dilemma?
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    Letter to the Editor
    P: 142-143
    June 2023

    Endometrioid endometrial cancer treated with open or laparoscopic approach: is there a dilemma?

    J Turk Ger Gynecol Assoc 2023;24(2):142-143
    1. Department of Gynecologic Oncology, Metaxa Cancer Hospital of Piraeus, Piraeus, Greece
    2. Department of Obstetrics and Gynecology, National Kapodistrian University of Athens Medical School, Attikon University Hospital, Athens, Greece
    3. Athens Colorectal Laboratory, Athens, Greece
    4. Department of Colorectal Surgery, Royal Devon and Exeter NHS Foundation Trust, Exeter, United Kingdom
    5. Department of Vascular Biology, Molecular and Clinical Sciences Research Institute, St. George’s University of London, London, United Kingdom
    No information available.
    No information available
    Received Date: 30.11.2022
    Accepted Date: 24.01.2023
    Publish Date: 07.06.2023
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    Author’s Response

    Dear Colleagues,

    We thank you for your general appreciation of our manuscript and kind comments. Our data highlight the superiority of the laparoscopic approach over open surgery for the treatment of endometrioid endometrial cancer in terms of overall morbidity, intraoperative complications, blood loss, post-surgical recovery, as well as the incidence and severity of postoperative complications in this population. Both approaches permitted a systematic pelvic and para-aortic lymphadenectomy with a sufficient amount of resected lymph nodes. The laparoscopic approach appears to be as safe as the conventional open technique, but provides a better surgical outcome and might therefore be more beneficial for the patient.

    Sascha Baum1, Ibrahim Alkatout2, Louisa Proppe1, Christos Kotanidis3, Achim Rody1, Antonio Simone Laganà4, Soteris Sommer1, George Gitas5

    1Department of Obstetrics and Gynecology, University Hospital of Schleswig Holstein, Campus Luebeck, Luebeck, Germany

    2Department of Obstetrics and Gynecology, University Hospital of Schleswig Holstein, Campus Kiel, Kiel, Germany

    3Department of Obstetrics and Gynecology, Iaso Hospital, Larissa, Greece

    4Department of Obstetrics and Gynecology, Filippo Del Ponte Hospital, University of Insubria, Varese, Italy

    5Department of Gynecology, University Hospital Charite, Campus Mitte, Berlin, Germany

    References

    1
    Baum S, Alkatout I, Proppe L, Kotanidis C, Rody A, Laganà AS, et al. Surgical treatment of endometrioid endometrial carcinoma - laparotomy versus laparoscopy. J Turk Ger Gynecol Assoc 2022; 23: 233-40.
    2
    Ma J, Zhou C, Chen J, Chen X. Prognosis and Efficacy of Laparoscopic Surgery on Patients with Endometrial Carcinoma: Systematic Evaluation and Meta-Analysis. Comput Math Methods Med 2022; 2022: 9384134.
    3
    Concin N, Matias-Guiu X, Vergote I, Cibula D, Mirza MR, Marnitz S, et al. ESGO/ESTRO/ESP guidelines for the management of patients with endometrial carcinoma. Int J Gynecol Cancer 2021; 31: 12-39.
    4
    https://esgo.org/media/2022/09/EC-Surgery-Quality-indicators.pdf
    5
    Ramirez PT, Frumovitz M, Pareja R, Lopez A, Vieira M, Ribeiro R, et al. Minimally Invasive versus Abdominal Radical Hysterectomy for Cervical Cancer. N Engl J Med 2018; 379: 1895-904.
    6
    Iavazzo C, Gkegkes ID. The role of uterine manipulators in endometrial cancer recurrence after laparoscopic or robotic procedures. Arch Gynecol Obstet 2013; 288: 1003-9.
    7
    Scutiero G, Vizzielli G, Taliento C, Bernardi G, Martinello R, Cianci S, et al. Influence of uterine manipulator on oncological outcome in minimally invasive surgery of endometrial cancer: A systematic review and meta-analysis. Eur J Surg Oncol 2022; 48: 2112-8.
    8
    Iavazzo C, Gkegkes ID. Application of da Vinci(®) Robot in simple or radical hysterectomy: Tips and tricks. J Turk Ger Gynecol Assoc 2016; 17: 106-9.
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