Rak endometrium – leczenie laparoskopowe

Abstract

Author(s): Janusz Bartnicki, Ryszrad Poręba

The study describes generally accepted, European guidelines for surgical treatment of endometrial cancer. Apart from IA (G1, G2) and IB (G1, G2) stages, all remaining stages treatment requires a hysterectomy with adnexa as well as true pelvis and periaortal lymph nodes removal. In case of I stage of endometrial cancer, laparoscopic surgery is recommended, if possible. In the II stage laparotomy is performed more commonly than laparoscopy. There is not enough reliable data about the survival rate of laparoscopically treated patients in the II stage and cancer relapse rate in this group. In cases of III stage of endometrial cancer laparotomy is performed. In this stage laparoscopic surgery is disputable, and extremely rarely performed. In the IV stage, laparotomy is explicitly recommended. Although laparoscopic surgery in endometrial cancer is still marginal, its importance increases gradually, especially in the stage I.

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Editors List

  • Andrzej Zdziennicki

    Institute of Gynecology and Obstetrics, Medical University of Lodz, I Clinic of Gynecology and Gynecological Oncology (Lodz, Poland)

  • Krzysztof Urbanski

    Head of the Oncology Gynecology Clinic, Oncology Center - Instytut im. Maria Sklodowska Curie, Department in Krakow (Krakow, Poland)

  • Andrzej Szawlowski

    Klinika Nowotworow Gornego Odcinka Uklad Digestii, Oncology Center - Institute (Warsaw, Poland)

  • Skowronska-Gardas

    Department of Radiotherapy, Oncology Center-Institute (Warsaw, Poland)

  • Serban-Dan Costa

    Head of the Obstetrics and Gynecology Clinic of the University of Otto von Guericke (Magdeburg, Germany)