2016 Volume 31 Issue 2 Pages 417-422
Recently, the nose of laparoscopic surgery has increased. Laparoscopic surgery for early-stage uterine endometrial cancer has been covered by national health insurance since 2014.
Therefore, since then, laparoscopic surgery for early-stage uterine endometrial cancer is likely to be performed more often. However, paraaortic lymphadenectomy is not covered by national health insurance. Generally, the frequency of lymph node metastasis and recurrence of early-stage uterine endometrial cancer is low, but pelvic and paraaortic lymphadenectomy is necessary when deciding the FIGO stage of uterine endometrial cancer. This is one of the main indications for adjuvant therapy. A patient who was considered in the low risk group experienced recurrence after laparoscopic surgery for early-stage uterine endometrial cancer. The recurrence was from paraaortic lymph node metastasis. This indicates that pelvic and paraaortic lymphadenectomy is necessary even in early-stage uterine endometrial cancer, and that attentive follow-up is required.
