Please wait a minute...
European Journal of Gynaecological Oncology  2021, Vol. 42 Issue (1): 18-25    DOI: 10.31083/j.ejgo.2021.01.2297
Special Issue: Topic Collection "Minimally Invasive Surgery in Gynecological Oncology"
Review Previous articles | Next articles
The current evidence for the use of minimally-invasive surgery in endometrial cancer
Joseph J. Noh1, Tae-Joong Kim1, *()
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 06351 Seoul, South Korea
Download:  PDF(194KB)  ( 71 ) Full text   ( 25 )
Export:  BibTeX | EndNote (RIS)      
Abstract  
The aim of the present study is to review the current available data regarding the use of minimally-invasive surgery in endometrial cancer patients and investigate the feasibility and safety of it for cancer control. We also reviewed the current understanding of sentinel lymph node mapping and the use of robotic surgery in endometrial cancer. Studies have consistently demonstrated better short-term outcomes of minimally-invasive surgery in endometrial cancer compared to laparotomy such as less blood loss, shorter hospital stay, and fewer wound complications. Large randomized clinical trials and meta-analyses also suggest the feasibility and safety of minimally-invasive surgery in terms of oncologic outcomes especially in patients with early stage disease. Although evidence for advanced stage disease and patients with high risk for recurrence are still lacking, the current available data seem to support the use of minimally-invasive surgery for those patient groups as well. A large body of literature supports the role of sentinel lymph node mapping in endometrial cancer with a high sensitivity and a low false negative rate, as well as a favorable negative predictive value. Studies also show that robotic surgery is a safe and effective alternative to conventional laparoscopic surgery for endometrial cancer staging but further long-term data are required. Further prospective studies with long-term follow-up are warranted to evaluate the feasibility and safety of minimally-invasive surgery especially in patients with advanced stage disease and high risk for recurrence. However, the current available data support the use of minimally-invasive surgery in all patient groups of endometrial cancer.
Key words:  Endometrial cancer      Minimally-invasive surgery      Laparoscopy      Laparotomy      Gynecology     
Submitted:  02 October 2020      Revised:  15 December 2020      Accepted:  21 December 2020      Published:  15 February 2021     
*Corresponding Author(s):  Tae-Joong Kim     E-mail:  tj28.kim@gmail.com

Cite this article: 

Joseph J. Noh, Tae-Joong Kim. The current evidence for the use of minimally-invasive surgery in endometrial cancer. European Journal of Gynaecological Oncology, 2021, 42(1): 18-25.

URL: 

https://ejgo.imrpress.com/EN/10.31083/j.ejgo.2021.01.2297     OR     https://ejgo.imrpress.com/EN/Y2021/V42/I1/18

[1] Yuichiro Miyamoto, Michihiro Tanikawa, Kenbun Sone, Mayuyo Mori-Uchino,Tetsushi Tsuruga, Yutaka Osuga. Introduction of minimally invasive surgery for the treatment of endometrial cancer in Japan: a review[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 10-17.
[2] Burak Tatar. Assessment of myometrial invasion of endometrial carcinoma with preoperative transvaginal sonography[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 85-89.
[3] Tomohito Tanaka, Shoko Ueda, Shunsuke Miyamoto, Shinichi Terada, Hiromi Konishi, Yuhei Kogata, Satoe Fujiwara, Yoshimichi Tanaka, Kohei Taniguchi, Kazumasa Komura, Masahide Ohmichi. Short-term outcomes for patients with endometrial cancer who received robot-assisted modified radical hysterectomy: A retrospective observational study[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 90-95.
[4] Joseph J. Noh, Kyue-Hee Choi, Hyun-Soo Kim, Jeong-Won Lee. Port site implantation of clear cell carcinoma after laparoscopic ovarian cystectomy[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 174-178.
[5] Azusa Kimura, Kenro Chikazawa, Ken Imai, Ito Takaki, Tomoyuki Kuwata, Ryo Konno. Cesarean scar perforation in laparoscopic hysterectomy for endometrial cancer: a case report[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 179-182.
[6] Zen Watanabe, Hideki Tokunaga, Masumi Ishibashi, Shogo Shigeta, Keita Tsuji, Tomoyuki Nagai, Masahito Tachibana, Muneaki Shimada, Nobuo Yaegashi. A modified technique of laparoscopic radical trachelectomy combined with extracorporeal cervical amputation through a mini-laparotomy[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 183-188.
[7] Hideaki Yajima, Eiji Kondo, Masafumi Nii, Michiko Kaneda, Kenta Yoshida, Tomoaki Ikeda. Robotic hysterectomy with pelvic lymphadenectomy for early endometrial cancer in a patient with situs inversus totalis using 3D-CT analysis: a case report[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 189-192.
[8] Yun Jin Bang, Jong-Min Lee , Seung Yeon Pyeon. Endometrial adenocarcinoma arising in adenomyosis: case report and review of literature[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 858-862.
[9] Angel Yordanov, Stanislav Slavchev, Stoyan Kostov, Strahil Strashilov, Mariela Vasileva-Slaveva, Assia Konsoulova. Synchronous Primary Carcinoma of Uterine Cervix and Endometrium - Single-center retrospective study[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 939-942.
[10] Jeong In Choi, Jae Hong Sang, Soo-Ho Chung. Is laparotomy better than laparoscopic surgery in early cervical cancer?[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 949-951.
[11] Yuji Tanaka, Yusuke Shimizu, Ai Ikki, Kota Okamoto, Atsushi Fusegi, Makoto Nakabayashi, Makiko Omi, Tomoko Kurita, Terumi Tanigawa, Yoichi Aoki, Sachiho Netsu, Mayu Yunokawa, Hidetaka Nomura, Maki Matoda, Sanshiro Okamoto, Kohei Omatsu, Hiroyuki Kanao. Laparoscopic ureteral reconstruction in gynaecological recurrent cancer surgeries: an initial case series study[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 975-981.
[12] Urszula Religioni, Aleksandra Czerw, Michał P. Budzik, Andrzej Deptała, Anna M. Badowska-Kozakiewicz. Assessment of pain, acceptance of the disease, adaptation to life and strategies of coping with the disease in patients with endometrial cancer[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 1016-1022.
[13] Laura Baquedano Mainar,Andrea Espiau Romera, Pluvio Jesús Coronado Martín. HE4 in endometriod and non- endometrioid subtype of endometrial cancer does not mean the same[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 1039-1044.
[14] Yusuke Matoba, Kouji Banno, Yusuke Kobayashi, Kosuke Tsuji, Iori Kisu, Daisuke Aoki. Complete resection of an endometrial cancer lesion by hysteroscopic tumor resection combined with photodynamic diagnosis: a case report[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 1050-1055.
[15] Ikuji Shimazaki, Yasunori Hashiguchi, Makoto Yamauchi, Mari Kasai, Takeshi Fukuda, Tomoyuki Ichimura, Tomoyo Yasui, Toshiyuki Sumi. Secondary small cell vaginal cancer after operative therapy for endometrial cancer[J]. European Journal of Gynaecological Oncology, 2020, 41(5): 821-823.
No Suggested Reading articles found!