Robot assisted laparoscopic transperitoneal para-aortic lymphadenectomy in the management of advanced cervical carcinoma

Fastrez, Maxime; Vandromme, Jean; George, P.; Rozenberg, Serge; Degueldre, Michel

doi:10.1016/j.ejogrb.2009.09.003

Cited by 18 publications

(11 citation statements)

References 29 publications

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“…Fastrez et al [16] observed a median operation time for para-aortic lymphadenectomy (PAL) of 137.5 min (90–185 min). Lambaudie et al [1] in his series of 39 cases of isolated transperitoneal PAL described an operative time of 166.5 and a lymphnode yield of 13.3.…”

Section: Discussionmentioning

confidence: 99%

Robotic-Assisted Transperitoneal Aortic Lymphadenectomy as Part of Staging Procedure for Gynaecological Malignancies: Single Institution Experience

Zanagnolo

Rollo

Tomaselli

et al. 2013

Obstetrics and Gynecology International

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Introduction. This study was designed to confirm the feasibility and safety of robotic-assisted transperitoneal aortic lymphadenectomy as part of staging procedure for gynecologic malignancies. Methods. Chart review of 51 patients who had undergone robotic staging with aortic lymphadenectomy for different gynaecologic malignancies was performed. Results. The primary diagnosis was as follows: 6 cases of endometrial cancer, 31 epithelial ovarian cancer, 9 nonepithelial ovarian cancer, 4 tubal cancer, and 1 cervical cancer. Median BMI was 23 kg/m2. Except for a single case of aortic lymphadenectomy only, both aortic and pelvic lymphadenectomies were performed at the time of the staging procedure. All the para-aortic lymphadenectomies were carried out to the level of the renal veinl but 6 cases were carried out to the level of the inferior mesenteric artery. Hysterectomy was performed in 24 patiens (47%). There was no conversion to LPT. The median console time was 285 (range 195–402) with a significant difference between patients who underwent hysterectomy and those who did not. The median estimated blood loss was 50 mL (range 20–200). The mean number of removed nodes was 29 ± 9.6. The mean number of pelvic nodes was 15 ± 7.6, whereas the mean number of para-aortic nodes was 14 ± 6.6. Conclusions. Robotic transperitoneal infrarenal aortic lymphadenectomy as part of staging procedure is feasible and can be safely performed. Additional trocars are needed when pelvic surgery is also performed.

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Section: Discussionmentioning

confidence: 99%

Robotic-Assisted Transperitoneal Aortic Lymphadenectomy as Part of Staging Procedure for Gynaecological Malignancies: Single Institution Experience

Zanagnolo

Rollo

Tomaselli

et al. 2013

Obstetrics and Gynecology International

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“…In all three centers, physicians offered pretreatment robotassisted laparoscopic para-aortic lymphadenectomy to patients with advanced cervical carcinoma (FIGO IB2 -IVA) or patients with early stage disease (FIGO IA1 -IB1) who had histologically proven positive pelvic LN. The surgical results of some of these patients were reported earlier (22,23). The patient characteristics are presented in Table 1.…”

Section: Methodsmentioning

confidence: 99%

“…aortic lymphadenectomy has been descibed previously by Fastrez et al (23). The present study has been approved by the steering committee of the Belgian Gynecologic Oncology Group (BGOG).…”

Section: Methodsmentioning

confidence: 99%

“…Robot-assisted laparoscopic para-aortic lymphadenectomy avoids some of these limitations. The feasibility of a robotically assisted para-aortic lymphadenectomy has been described by several authors (22)(23)(24)(25), who reported that the procedure was safe and provided the surgeon with great precision and comfort dissecting para-aortic nodes. Morbidity in these series was low and the authors judged that larger trials were needed to validate the use of this technique (24).…”

Section: Key Messagementioning

confidence: 99%

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Multi‐center experience of robot‐assisted laparoscopic para‐aortic lymphadenectomy for staging of locally advanced cervical carcinoma

Fastrez

Goffin

Vergote

et al. 2013

Acta Obstet Gynecol Scand

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“…A total of 107 and 540 search results were retrieved during the performed search in PubMed and Scopus databases, respectively, among of which 18 studies were identified as eligible for inclusion in our review [15][16][17][18][19][20][21][22][23][24][25][26][27][28][39][40][41]. One additional study was identified through hand-searching of references [38].…”

Section: Resultsmentioning

confidence: 99%

Robotic retroperitoneal lymph node dissection in gynaecological neoplasms: comparison of extraperitoneal and transperitoneal lymphadenectomy

Iavazzo

Gkegkes

2015

Arch Gynecol Obstet

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Robot assisted laparoscopic transperitoneal para-aortic lymphadenectomy in the management of advanced cervical carcinoma

Cited by 18 publications

References 29 publications

Robotic-Assisted Transperitoneal Aortic Lymphadenectomy as Part of Staging Procedure for Gynaecological Malignancies: Single Institution Experience

Robotic-Assisted Transperitoneal Aortic Lymphadenectomy as Part of Staging Procedure for Gynaecological Malignancies: Single Institution Experience

Multi‐center experience of robot‐assisted laparoscopic para‐aortic lymphadenectomy for staging of locally advanced cervical carcinoma

Robotic retroperitoneal lymph node dissection in gynaecological neoplasms: comparison of extraperitoneal and transperitoneal lymphadenectomy

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