{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T18:32:34Z","timestamp":1777314754321,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T00:00:00Z","timestamp":1484179200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare laparotomy, laparoscopy, and robotic surgical approaches to lymphadenectomy for high\u2010risk endometrial cancer staging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study enrolled patients who underwent surgery for pathologic high\u2010risk endometrial carcinoma at the University Health Network, Toronto, Canada, between January 1, 2005 and December 31, 2013. The primary outcome, the median number of nodes retrieved, was compared based on surgical technique. The secondary outcome was the detection of metastatic nodes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 176 patients who underwent surgery for high\u2010risk endometrial cancer were included, of whom 147 (83.5%) had pelvic and 78 (44.3%) had para\u2010aortic lymphadenectomy. Laparotomy, laparoscopy, and robotic approaches were applied for 69 (39.2%), 44 (25.0%), and 63 (35.8%) patients, respectively. Minimally\u2010invasive staging was associated with an increased proportion of patients undergoing pelvic lymphadenectomy compared with laparotomy (<jats:italic>P=<\/jats:italic>0.005). The median number of nodes removed in the pelvis and para\u2010aortic regions did not differ between surgical approaches. The detection of metastatic nodes was also similar between the groups. Increased blood loss (<jats:italic>P&lt;<\/jats:italic>0.001) and longer hospital admission (<jats:italic>P&lt;<\/jats:italic>0.001) were observed with laparotomy procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>All three techniques demonstrated adequate staging of high\u2010risk endometrial carcinoma. Based on improved peri\u2010operative outcomes, the use of minimally\u2010invasive techniques is advocated where appropriate.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12073","type":"journal-article","created":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T16:24:17Z","timestamp":1484238257000},"page":"315-319","source":"Crossref","is-referenced-by-count":14,"title":["Comparison of three surgical approaches for staging lymphadenectomy in high\u2010risk endometrial cancer"],"prefix":"10.1002","volume":"136","author":[{"given":"Katherine J.","family":"Pulman","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Division of Gynaecologic Oncology University of Toronto  Toronto ON Canada"},{"name":"Division of Gynecologic Oncology Trillium Health Sciences Center  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ebernella S.","family":"Dason","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Division of Gynaecologic Oncology University of Toronto  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Philp","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Division of Gynaecologic Oncology University of Toronto  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus Q.","family":"Bernardini","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Division of Gynaecologic Oncology University of Toronto  Toronto ON Canada"},{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Center University Health Network  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Division of Gynaecologic Oncology University of Toronto  Toronto ON Canada"},{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Center University Health Network  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phane","family":"Laframboise","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Division of Gynaecologic Oncology University of Toronto  Toronto ON Canada"},{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Center University Health Network  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eshetu G.","family":"Atenafu","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University Health Network  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taymaa","family":"May","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Division of Gynaecologic Oncology University of Toronto  Toronto ON Canada"},{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Center University Health Network  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,1,12]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Canadian Cancer Statistics 2015","author":"Canadian Cancer Society's Advisory Committee on Cancer Statistics","year":"2015"},{"key":"e_1_2_7_3_1","volume-title":"Cancer Facts & Figures 2015","author":"American Cancer Society","year":"2015"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60269-X"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.02.012"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.22.3248"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.38.8645"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3802\/jgo.2013.24.1.21"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2012.696156"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2012.07.006"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2013.12.019"}],"container-title":["International Journal of Gynecology &amp; 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