{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T04:59:39Z","timestamp":1764305979804,"version":"3.40.5"},"reference-count":0,"publisher":"Care Comm","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ceska Gynekol"],"published-print":{"date-parts":[[2022,10,24]]},"abstract":"<jats:p>Introduction: In the last decade, the view of endometrial cancer has shifted enormously, and the surgical approach or lymph node staging has changed significantly. We are presenting these changes with the University Hospital Brno Oncogynecology center\u2019s results in the years 2012\u20132021 in the actual national and European guidelines context. Methods: The retrospective unicentric observational study, national and European guidelines review. Results: In the observation period, 715 endometrial cancer patients were treated in our clinic, and 636 of them underwent surgical treatment (89%). Concerning lymph node staging, firstly, there is a clear trend of expanding lymphadenectomy to the paraaortic area, followed by the sentinel node biopsy introduction in the years 2018\u20132019, and finally, the complete transition to this method as the main staging procedure in 2021, when this examination was performed in 73% of surgeries, even with high-risk cancers limited to the uterus. Within the sentinel node biopsy expansion, a gradual decrease in laparotomy approach (maximum 41% in 2016, 18% in 2021), and blood loss (2012\u20132019 median 100 mL, with a decrease to 50 mL in 2020\u20132021) was evident. A hospitalization length stabilized at a median of 5\u20136 days. Conclusions: Surgical treatment of endometrial cancer has become a minimally invasive procedure for the majority of patients, the average blood loss and hospitalization length have decreased. Sentinel node biopsy has become the preferred lymph node staging method.   Key words: endometrial cancer \u2013 lymphadenectomy \u2013 sentinel lymph node \u2013 total laparoscopic hysterectomy \u2013 uterine manipulator<\/jats:p>","DOI":"10.48095\/cccg2022308","type":"journal-article","created":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T12:45:44Z","timestamp":1667306744000},"page":"308-316","source":"Crossref","is-referenced-by-count":2,"title":["Change in the trend of surgical treatment and staging of lymph nodes in endometrial cancer \u2013 results of the Oncogynecology Center, Department of Gynecology and Obstetrics, University Hospital Brnoand Masaryk University in the years 2012\u20132021"],"prefix":"10.48095","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1082-433X","authenticated-orcid":false,"given":"Petra","family":"Vinklerov\u00e1","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9088-5428","authenticated-orcid":false,"given":"Lubo\u0161","family":"Min\u00e1\u0159","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4858-1951","authenticated-orcid":false,"given":"V\u00edt","family":"Weinberger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3826-5675","authenticated-orcid":false,"given":"Michal","family":"Felsinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0938-8737","authenticated-orcid":false,"given":"Michaela","family":"Kobl\u00ed\u017ekov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"28151","published-online":{"date-parts":[[2022,10,24]]},"container-title":["\u010cesk\u00e1 gynekologie"],"original-title":["Change in the trend of surgical treatment and staging of lymph nodes in endometrial cancer \u2013 results of the Oncogynecology Center, Department of Gynecology and Obstetrics, University Hospital Brnoand Masaryk University in the years 2012\u20132021"],"deposited":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T12:45:45Z","timestamp":1667306745000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cs-gynekologie.cz\/en\/journals\/czech-gynaecology\/2022-5-5\/change-in-the-trend-of-surgical-treatment-and-staging-of-lymph-nodes-in-endometrial-cancer-results-of-the-oncogynecology-center-department-of-gynecology-and-obstetrics-university-hospital-brno-and-masaryk-university-in-the-years-2012-2021-132301"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,24]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022,10,24]]},"published-print":{"date-parts":[[2022,10,24]]}},"URL":"https:\/\/doi.org\/10.48095\/cccg2022308","relation":{},"ISSN":["1210-7832","1805-4455"],"issn-type":[{"type":"print","value":"1210-7832"},{"type":"electronic","value":"1805-4455"}],"subject":[],"published":{"date-parts":[[2022,10,24]]}}}