Comparison of Outcome Between Laparoscopic Surgery and Laparotomy for Endometrial Carcinoma

Saima Anwar; Shazia Anwar; Aalia Jadaan; Sarwat Bibi; Mohsana Saeed Zia

Saima Anwar Senior Registrar, Obstetrics & Gynecology, Unit I, Holy family Hospital, Rawalpindi.
Shazia Anwar Associate professor of Obstetrics & Gynecology, Aziz Fatimah Medical and Dental College and Hospital, Faisalabad
Aalia Jadaan Associate professor of Surgery, Aziz Fatimah Medical and Dental College and Hospital, Faisalabad
Sarwat Bibi Associate professor of Surgery, Aziz Fatimah Medical and Dental College and Hospital, Faisalabad.
Mohsana Saeed Zia Assisstant Professor, Gynaecology and Obstetrics department, Azad Jammu and Kashmir Medical College, Muzaffarabad

Keywords: Endometrial Carcinoma, Laparotomy

Abstract

Objectives: To compare the outcome between laparoscopic surgery and laparotomy for endometrial Carcinoma.

Methodology: The study was conducted in Department of Obstetrics and Gynecology, Aziz Fatima Medical and Dental College Faisalabad, data of around six years from June 2015 to June 2021 was included.In this retrospective non-randomized clinical trial study information was acquired from hospital records for all women admitted with endometrial cancer confirmed by histopathology. These patients with endometrium carcinoma underwent laparoscopic surgery or laparotomy for endometriosis. Demographic information (including age, parity), clinical symptoms (pain, bleeding), and operative outcomes (like operation time, estimated blood loss, patient outcome, and hospital stay), and the number of lymph nodes harvested was recorded on a predesigned proforma.

Results: The mean age (46.25 ± 12.45 vs. 46.25 ± 12.45 years) and parity (2.6 ± 1.8 vs. 2.2 ± 1.5) had no significant (p-value > 0.05) difference between laparoscopic and laparotomy group. The operation time was significantly (P-value < 0.05) higher (276.8 ± 32.5 vs. 213.6 ± 42.3 mint) in laparoscopic group as compared to laparotomy group. The average estimated blood loss and average hospital stay (324.8 ± 156.9 vs. 245.7 ± 102.5 ml) and (18.65 ± 7.4 vs. 26.54 ± 6.2 days) was significantly (P-value > 0.05) less in laparoscopic group. The comparison of complications showed that overall, more complications were associated with laparotomy group as compared to laparoscopic group.

Conclusion:The laparoscopic surgery of women with endometrial carcinoma has a shorter length of hospital stay, less blood loss, and fewer postoperative overall complication rates as compared to laparotomy.