Objective: To assess the feasibility and safety of laparoscopic surgery in the treatment of patients with early endometrial carcinoma and to compare their outcomes with those of patients treated with laparotomy.Methods: The records of 288 patients with clinical stage 1 endometrial carcinoma treated by total laparoscopic hysterectomy or total abdominal hystereclomy between January 2001 and January 2011 were retrospectively reviewed.