Re: Total laparoscopic hysterectomy versus abdominal hysterectomy with lymphadenectomy for early-stage endometrial cancer: a prospective randomized study.

摘要

With great interest we read the article by Malzoni et al. [1] concerning laparoscopic versus open approach in patients with early-stage endometrial cancer. We would like to make a few comments. It can be concluded from literature that the potential health gain of performing a laparoscopic hysterectomy instead of an abdominal hysterectomy in patients with early stage endometrial cancer is related to morbidity. The gain is expected in lowered major complication rate, shorter hospital stay, less pain and quicker return to activities in daily life. The rate and patterns of recurrence are similar between both procedures in these patients, as reported in several retrospective and prospective studies. Therefore, because morbidity is the most important effect parameter, morbidity rate should be the main outcome parameter in a study concerning laparoscopic versus the open approach. However, Malzoni et al. [1] did not clearly define the outcome parameters of their study.