Abstract : The current study aims to compare the experience of a single center in a low-income country that uses both laparoscopic and laparotomy techniques to treat early-stage EC. This retrospective study was realized at Azerbaijan Medical University, Department of Oncology. The files of 117 endometrial cancer patients who underwent surgical treatment between 2018 and 2024 were retrospectively evaluated. TH, BSO, and LND (total laparoscopic hysterectomy with bilateral salpingo-oophorectomy and lymph node dissection) are the required procedures for the staging process. TH and BSO were administered to all individuals. One hundred and seventeen patients were treated and observed for endometrial cancer as long as the study period lasted. Twenty-two patients (18.8%) had a laparotomy, and 95 patients (81.2%) had laparoscopic surgery. In both groups, the longest observation duration was 77 months. Twelve patients (12.6%) experienced recurrence in the laparoscopy group, compared with 3 patients (14.3%) in the laparotomy group. During the follow-up period, survival data were gathered, and they revealed no significant differences (87.4% versus 85.7%). According to our study, laparoscopy plays an important role in the treatment of uterine-confined EC. In these cases, laparoscopic surgery may be conducted with a comparable level of lymph node dissection to laparotomy, a shorter hospital stay, and fewer postoperative infections. Although it is important to confirm the results of our study with prospective randomized controlled studies, our results can be a valuable reference in clinical settings. MIS should be encouraged in the treatment of EC nowadays in all low-income countries.