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NCT07546825Recruiting

Laparotomy vs Laparoscopy in Endometrial Cancer Staging

Perioperative Outcomes of Surgical Staging in Patients With Early-stage Endometrial Carcinoma: Comparison Between Laparoscopy and Laparotomy in a Low-resource Setting

Source: ClinicalTrials.gov · Last updated 10 Jun 2026

Brief summary (registry, in English)

Endometrial cancer is one of the most common gynecological malignancies worldwide. Surgical staging is the cornerstone of management and traditionally performed via laparotomy. However, minimally invasive surgery, particularly laparoscopy, has emerged as an effective alternative with potential benefits in reducing postoperative morbidity. This study aims to compare the outcomes of laparoscopic versus open (laparotomy) surgical staging in patients with endometrial cancer in low-resource settings. Primary aim: To compare early postoperative recovery after surgical staging for early-stage endometrial cancer between laparoscopic and open approaches, assessed primarily by time to ambulation. • Secondary aim: To compare intraoperative outcomes (operative time, blood loss, lymph node yield), postoperative morbidity (Clavien-Dindo classification), quality of recovery (QoR-15), length of hospital stay, same day discharge(SDD), discrepancy between preoperative curettage pathology and final histopathology, delay in initiation of adjuvant therapy, one-year disease-free survival, direct hospital costs between both approaches, and quality of life using EQ-5D-5L questionnaire. Given the limited resources and variations in surgical expertise in low-resource settings, this study seeks to evaluate the feasibility, safety, and effectiveness of laparoscopy compared to laparotomy. The findings may help guide clinical decision-making and optimize surgical approaches in similar healthcare environments.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
48 (estimated)
First submitted
9 Apr 2026
Start date
2 Jun 2026
Primary completion date
1 Apr 2028
Lead sponsor
Assiut University
NCT number
NCT07546825

What you commit to

  • Study type: Interventional
  • Planned participants: 48
  • From 2 Jun 2026 to the primary completion date, 1 Apr 2028
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Criteria the registry did not label

  • Inclusion criteria:
    • Histologically confirmed endometrial carcinoma, diagnosed by endometrial biopsy or dilatation and curettage.
    • patient candidate for pelvic lymphadenectomy according to risk stratification in endometrial cancer according to ESGO/ESTRO/ESP, 2021 (6).
    • Planned surgical staging including: total hysterectomy, bilateral salpingo-oophorectomy ± pelvic lymphadenectomy.
    • good performance status : ECOG 0, 1, 2
    • patients who provide informed written consent to participate in the study.
  • Exclusion criteria:
    • severe cardiopulmonary diseases (e.g unstable angina, severe COPD).
    • Absolute contraindication to laparoscopy.
    • stage Ⅲ and Ⅳ endometrial cancer.
    • patients who received previous pelvic radiotherapy.
    • patients who underwent prior lymphadenectomy.

Sex: Female · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Assiut University, Assiut,
Coordinator of this site? Confirm its status
AsyutEgyptRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.