Objective: The objective of the current study was to compare the results of surgical treatment in endometrial cancer with use of laparoscopy and traditional approach by laparotomy. Our goal was to evaluate and compare the recurrence rate and disease free survival in both groups. Study design: This article is a retrospective study. The chart review of 45 patients treated by laparoscopy between 1994 and 2002 and 136 patients treated by laparotomy between 2001 and 2002 was performed. Disease free survival in both group was evaluated with Kaplan-Meier method and was compared using the log-rank test. Results: The rate of recidive was 6% in laparoscopy group and 13% in laparotomy group. There was no significant difference in disease free survival and recidive rate between laparoscopy and laparotomy group. Conclusion: Laparoscopic management in endometrial cancer do not worse the prognosis and the disease free survival is similar when compare with traditional approach. The benefits of minimal invasive surgery are: quicker postoperative recovery, shorter hospital stay and no wound complications.