Despite there now being three prospective trials on the surgical management of endometrial cancer a Sydney Oncologist says there is still no convincing data to show a long-term benefit of laparoscopy compared with laparotomy for the surgical management of early endometrial cancer.
In a letter to Lancet Oncology Dr Jonathan Carter from the Sydney Cancer Centre at the Royal Prince Alfred Hospital referred to the LACE study by Monika Janda and colleagues (Queensland Centre for Gynaecological Cancer) that found better quality of life following total laparascopic hysterectomy (TLH) compared to total abdominal hysterectomy (TAH).
According to Doctor Carter, there were two major concerns with the interpretation of the study which could have affected outcomes.
Most patients randomised to TLH did...
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