Laparoscopic Retroperitoneal Lymphadenectomy Followed by Immediate Laparotomy in Women with Cervical Cancer: A Gynecologic Oncology Group Study

Schlaerth, John B.; Spirtos, Nicola M.; Carson, Linda F.; Boike, Guy M.; Adamec, Thomas A.; Stonebraker, Bette

doi:10.1006/gyno.2001.6555

Cited by 94 publications

(37 citation statements)

References 13 publications

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“…[7][8][9] Transperitoneal and extraperitoneal abdominal approaches [10][11][12] After Laparoscopic LN staging was introduced in 1990, the feasibility, low morbidity and no delay of radiotherapy for such a procedure have been reported. [13][14][15][16][17] Laparoscopic LN staging was expected to maximize effect of radiotherapy by modifying radiotherapy field and by resection of bulky metastatic LN. 18 This study was conducted to investigate the feasibility, morbidity and treatment modification by pretreatment laparoscopic surgical staging in patients with locally advanced cervical cancer.…”

Section: Introductionmentioning

confidence: 99%

Experiences of pretreatment laparoscopic surgical staging in patients with locally advanced cervical cancer: results of a prospective study

et al. 2008

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Objective: To prospectively evaluate the feasibility, safety, and survival of laparoscopic surgical staging in patients with locally advanced cervical cancer. Methods: From Oct 2001 to Jul 2006, a total of 83 consecutive patients were eligible for inclusion and underwent laparoscopic surgical staging. Results: Three patients with intraoperative great vessel injury and 1 patient in whom the colpotomizer was unable to be inserted were excluded. Laparoscopic surgical staging was feasible in 95.2% (79/83). Immediate postoperative complications were noted in 12 (15.2%) patients. Prolonged complications directly related to operative procedures numbered 2 (2.5%), and were trocar site metastases. The mean time from surgery to the start of radiotherapy (RT) or concurrent chemoradiotherapy (CCRT) was 11 (5-35) days. All patients tolerated the treatment well and completed scheduled RT or CCRT without disruption of treatment and additional admission. The rate of modification of the radiation field after surgical staging was 8.9% (7/79). Five-year progression-free survival and overall survival (OS) rates were 79% and 89%, respectively. The OS of patients with microscopic lymph node metastases, which were fully resected, were comparable to those of patients without lymph node metastasis. However, the OS of patients with macroscopic lymph node metastases that were fully resected were poorer compared with those of patients without lymph node metastasis. Conclusion: Pretreatment laparoscopic surgical staging is a feasible and safe treatment modality. However the survival benefit of debulking lymph nodes or full lymph node dissection is not clear.

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Section: Introductionmentioning

confidence: 99%

Experiences of pretreatment laparoscopic surgical staging in patients with locally advanced cervical cancer: results of a prospective study

et al. 2008

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“…Comparison of recurrence rates and survival provide some insight. Schlaerth et al 16 evaluated women with cervical cancer undergoing laparoscopic retroperitoneal lymphadenectomy followed-by imme-diate laparotomy to assess the adequacy of lymph node removal. In that study, the investigators reported that laparoscopic aortic lymph node sampling could be performed safely and adequately.…”

Section: Discussionmentioning

confidence: 99%

Role of Minimally Invasive Surgery in Gynecological Cancers

Shitole¹

2015

WJOLS

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Background: Presently due to technological advances, operative laparoscopy now plays a crucial role in the management of pelvic malignancies. With newly developed techniques to complete both pelvic and para-aortic lymph node dissection, the use of the laparoscope has increased in patients with pelvic malignancies. Gynecological oncologists are currently incorporating the techniques of operative laparoscopy in the management of patients with cervical, endometrial, and ovarian cancer.

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“…Клиниче-ское исследование 9207, проведенное в США Гинеко-логической онкологической группой (Gynecologic Oncology Group, GOG), оценило роль лапароскопиче-ской лимфаденэктомии таза у больных РШМ со ста-диями IA, IB, IIA. Осложнениями такой операции были сосудистые повреждения (10 %) и травмы моче-точника (1,4 %), что при сравнимой радикальности не превышало риски, возникающие при абдоминальных операциях [6]. Сегодня в связи с развитием лапароско-пической техники (например, применения гармони-ческого скальпеля) стало возможным минимизировать операционные риски и послеоперационную лимфо-рею за счет эффективной герметизации небольших лимфатических каналов.…”

Section: обзорные статьиunclassified

“…Сегодня в связи с развитием лапароско-пической техники (например, применения гармони-ческого скальпеля) стало возможным минимизировать операционные риски и послеоперационную лимфо-рею за счет эффективной герметизации небольших лимфатических каналов. При этом полученные дан-ные по числу рецидивов и выживаемости показывают полезность лапароскопической лимфаденэктомии для гинекологических больных со злокачественными новообразованиями малого таза [6]. Однако Между-народная федерация акушеров и гинекологов (FIGO) до сих пор рекомендует только клиническую систему стадирования РШМ.…”

Section: обзорные статьиunclassified

Approaches to surgical staging of cancer of the uterine cervix

Бежанова¹,

Berlev²

2017

Tumors of female reproductive system

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Laparoscopic Retroperitoneal Lymphadenectomy Followed by Immediate Laparotomy in Women with Cervical Cancer: A Gynecologic Oncology Group Study

Cited by 94 publications

References 13 publications

Experiences of pretreatment laparoscopic surgical staging in patients with locally advanced cervical cancer: results of a prospective study

Experiences of pretreatment laparoscopic surgical staging in patients with locally advanced cervical cancer: results of a prospective study

Role of Minimally Invasive Surgery in Gynecological Cancers

Approaches to surgical staging of cancer of the uterine cervix

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