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Comparison of complications between laparoscopic and open abdominal approaches in morbidly obese patients with early-stage endometrial carcinoma Cover

Comparison of complications between laparoscopic and open abdominal approaches in morbidly obese patients with early-stage endometrial carcinoma

Open Access
|Apr 2026

Figures & Tables

Comparison of laparoscopic (LPSC) and open abdominal surgical approaches (LAP) groups by age, body mass index (BMI), and comorbidities

LPSC N = 58LAP N = 15p-value
Age, mean (SD)59 (9.3)61 (9.6)0.503
BMI, mean (SD)45.8 (5.6)46.1 (5.3)0.924
Percentage of patients with associated comorbidities87.9%86.7%0.594

Comparison of complications using the Clavien-Dindo classification

Clavien-Dindo ClassificationLPSC (N)LPSC (%)LAP (N(LAP (%)
Normal postoperative course or Grade I3967.200
Grade II1729.31280.0
Grade III00320.0
Grade IV23.400
Grade V0000

Comparison of complications between the laparoscopic (LPSC) and open abdominal surgical approaches (LAP) groups

LPSC N = 58LAP N = 15p-value
Urinary tract injury (N)00/
Bowel injury (N)100.792
Vascular injury (N)100.795
Blood loss (ml), mean, (range)250 (50–1000)300 (150–500)0.241
Percentage of transfusions5.2%20.0%0.097
Percentage of moderate anemia22.4%66.7%0.002
Operative time (min), mean, (range)106 (45–163)119 (65–195)0.353
Percentage of revisions3.4%20.0%0.024
Post-operative hospitalization time (days), mean, (range)4.5 (2–47)12.7 (5–55)< 0.001

Analysis of postoperative complications (Clavien-Dindo classification) according to surgical approach_

Statistical testValuep-value
Pearson Chi-square29.912< 0.001
Likelihood Ratio34.818< 0.001
DOI: https://doi.org/10.2478/raon-2026-0021 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 301 - 306
Submitted on: Nov 4, 2025
Accepted on: Feb 10, 2026
Published on: Apr 16, 2026
In partnership with: Paradigm Publishing Services

© 2026 Ajda Kljajic, Branko Cvjeticanin, Borut Kobal, Matija Barbic, Spela Smrkolj, Ivan Verdenik, Mija Blaganje, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.