Laparoscopic hysterectomy for early endometrial cancer.

摘要

In Europe and North America endometrial carcinoma is the most common cancer of the female genital tract and the fourth most common cancer site after breast, lung, and colorectal cancer.1 The treatment for endometrial carcinoma is, in operable patients, primarily surgical. Surgical treatment includes obtaining peritoneal fluid or washings for cytology, total hysterectomy, which by definition includes the uterine cervix and bilateral salpingo-oophorectomy. In selected cases, there is a place foromentectomy and a thorough retroperitoneal lymph-node dissection.The role of routine pelvic and para-aortic lymphadenectomy remains, however, controversial.