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Comparison of laparoscopy and laparotomy for management of endometrial carcinoma a meta-analysis

Title
Comparison of laparoscopy and laparotomy for management of endometrial carcinoma a meta-analysis
Authors
Ju W.Myung S.-K.Kim Y.Choi H.J.Kim S.C.
Ewha Authors
김승철주웅
SCOPUS Author ID
김승철scopus; 주웅scopus
Issue Date
2009
Journal Title
International Journal of Gynecological Cancer
ISSN
1048-891XJCR Link
Citation
vol. 19, no. 3, pp. 400 - 406
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Background: This meta-analysis was performed to investigate the outcome of laparoscopic surgery for endometrial carcinoma compared with laparotomy. Methods: We searched the MEDLINE (PubMed), EMBASE, and Cochrane Review databases in September 2007. Three independent evaluators selected the articles according to predetermined selection criteria. Results: Thirteen comparative studies (5 prospective and 8 retrospective) that met the selection criteria were included. In a fixed-effects meta-analysis, the overall survival and the recurrence rate showed no significant differences between the laparoscopy and the laparotomy groups, with odds ratios of 0.84 (95% confidence interval, 0.64-1.62) and 0.90 (95% confidence interval, 0.49-1.16), respectively. However, the complication rate was lower in the laparoscopy group than in the laparotomy group with an odds ratio of 0.43 (95% confidence interval, 0.32-0.58). Conclusions: The survival outcome and recurrence rate after laparoscopic surgery for endometrial carcinoma were similar to those in the laparotomy procedures. However, the complication rate was lower after laparoscopy compared with laparotomy.
DOI
10.1111/IGC.0b013e3181a1caf8
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의학전문대학원 > 의학과 > Journal papers
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