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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