Laparoscopic paraaortic left-sided transperitoneal infrarenal lymphadenectomy in patients with gynecologic malignancies: technique and results

Köhler, Christian; Tozzi, Roberto; Klemm, P.; Schneider, Achim

doi:10.1016/s0090-8258(03)00419-0

Cited by 54 publications

(30 citation statements)

References 33 publications

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“…Laparoscopy, with its characteristics of minimal invasiveness, is considered an effective diagnostic procedure to detect abdominal spread in gynecological cancers [1,2,3,4,5,6,7,8,9,10]. In 1999, we reported that laparoscopy in patients with locally advanced cervical cancer (LACC) is a feasible and well-tolerated procedure to detect abdominal disease [6].…”

Section: Introductionmentioning

confidence: 99%

An Update of Laparoscopy in Cervical Cancer Staging: Is It a Useful Procedure?

et al. 2013

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Objective: It was the aim of this study to report on the role of laparoscopic staging in a large series of locally advanced cervical cancer (LACC) patients and its impact on prognosis. Methods: Consecutive patients with LACC were considered for surgical staging: gynecological examination, cystoscopy and laparoscopy with peritoneal biopsies and peritoneal fluid cytology. Results: Between February 2000 and September 2010, a total of 167 women were evaluated. In 5 patients, laparoscopy could not be performed. One hundred and sixty-two patients had correct laparoscopic staging: 49 International Federation of Gynecology and Obstetrics (FIGO) stage IB-IIA (>4 cm), 67 IIB, 39 III, and 7 IVA. Abdominal spread was found in 33 cases (20%). There was a minor laparoscopy complication rate of 1%. We found a significant difference in the distribution of peritoneal spread for tumor grade and FIGO stage (p = 0.01 and p < 0.0001, respectively), whereas no statistically significant difference for the histological type was found [p = not significant (NS)]. The median follow-up was 80 months (range 4-144). The median overall survival was 65 months. The patients without abdominal spread did not benefit from a significantly longer survival (median overall survival of 59 vs. 70 months; p = NS). Conclusions: Laparoscopic staging in cervical cancer is a safe and feasible technique but it does not modify the prognosis of LACC patients.

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Section: Introductionmentioning

confidence: 99%

An Update of Laparoscopy in Cervical Cancer Staging: Is It a Useful Procedure?

et al. 2013

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“…Among the patients with lymph node metastasis > 5mm and / or capsular involvement and / or fixed nodes, the overall survival rate at four years was greater than 30%, much lower than in previous groups but greater than the overall survival of patients in FIGO stage IVB (distant metastases) 34,40,41 . Other groups performing surgical staging prior to combined treatment corroborate these results, observing low morbidity, especially after reaching the procedure's learning curve 44 .…”

Section: Advanced Stages Advanced Stages Advanced Stages Advanced Stamentioning

confidence: 56%

Laparoscopy in uterine cervical cancer. Current state and literature review

Tsunoda

Andrade

Vieira

et al. 2015

Rev. Col. Bras. Cir.

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ABSTRACT ABSTRACT ABSTRACTCervical cancer remains the most frequent gynecological tumor in Brazil and other developing countries. Minimally invasive techniques, especially laparoscopy, have been increasingly employed in such tumors. This article aims to describe the main applications of laparoscopy in the treatment and staging of cervical cancer. In the early stages, it is possible to provide a fertilitypreserving surgery in the form of radical trachelectomy and, in a study protocol, the function-preserving surgery, avoiding parametrectomy and the associated morbidity. A fully laparoscopic radical hysterectomy is fairly standard in the literature and has the tendency to become the standard of care in early cases, for patients who want to bear no more children. In advanced stages, minimally invasive surgery can offer ovarian transposition, with intent to prevent actinic castration, without upsetting the time for the start of radiotherapy and chemotherapy. Staging laparoscopic surgery, including pelvic and para-aortic lymphadenectomy, has been the subject of studies, since it has the potential to modify the extension of radiotherapy depending on the extent of lymph node spread.

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“…Some surgeons perform lymphadenectomy only up to the IMA, because single metastasis above IMA are not common, particularly if pelvic PET is negative [16], while others perform it up to the renal vein, because there is a significant percentage of patients with isolated supramesenteric metastasis [17]. Lymphadenectomy extended up to the renal vein can double the number of nodes obtained [18]. We suggest lymphadenectomy up to the renal vein.…”

Section: Upper Boundarymentioning

confidence: 95%

Tailored Radiotherapy Treatment in Advanced Cervical Cancer. Early Experience of Robotics in Surgical Innovation

Pulgar¹

2014

SOJS

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Laparoscopic paraaortic left-sided transperitoneal infrarenal lymphadenectomy in patients with gynecologic malignancies: technique and results

Cited by 54 publications

References 33 publications

An Update of Laparoscopy in Cervical Cancer Staging: Is It a Useful Procedure?

An Update of Laparoscopy in Cervical Cancer Staging: Is It a Useful Procedure?

Laparoscopy in uterine cervical cancer. Current state and literature review

Tailored Radiotherapy Treatment in Advanced Cervical Cancer. Early Experience of Robotics in Surgical Innovation

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