The Journal of the American Association of Gynecologic Laparoscopists
OriginalClinical Evaluation of Laparoscopic-Assisted Radical Vaginal Hysterectomy with Pelvic and/or Paraaortic Lymphadenectomy
Section snippets
Materials And Methods
The series consisted of 52 women (mean age 45.8yrs, range 27–63 yrs) operated on for invasive carcinoma of the cervix, stage Ib1, smaller than 3 cm. They all underwent laparoscopic pelvic and/or paraaortic lymphadenectomy, followed by RVH.
Results
After operation, only one patient had parametrial metastasis (upstaging to IIb). At staging laparoscopy, pelvic lymph nodes were positive in five women. Of these, three patients also had metastasis in paraaortic lymph nodes. These three women did not have RVH and were treated with extended-field irradiation and intracavitary irradiation. The chances for pelvic and paraaortic involvement were 9.6% and 5.8%, respectively. Mean hemoglobin decrement was 1.7 g/dl (range 0–6.6 g/dl) the day after
Discussion
Conventional management of patients with early cervical cancer is radical abdominal hysterectomy or radiation therapy after identifying nodal metastasis at laparotomy.6, 7 However, many gynecologic oncologists5, 8, 9, 10, 11, 12, 13 use laparoscopic techniques for management of early disease. In a review of the literature, average numbers of lymph nodes removed laparoscopically were 31.4,512.6,10 and 26.8 pelvic nodes and 7.3 paraaortic nodes.11 In our study, the average numbers of pelvic and
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Cited by (38)
Role of minimally invasive surgery in gynecologic malignancies
2023, DiSaia and Creasman Clinical Gynecologic OncologyLaparo-assisted vaginal radical hysterectomy as a safe option for Minimal Invasive Surgery in early stage cervical cancer: A systematic review and meta-analysis
2022, Gynecologic OncologyCitation Excerpt :One other by Querleu [19] showed only data about recurrence rate. Except for Chiva [23], Nam [29], Park [18], Sharma [30] and Steed [31], the other 13 studies presented OS data. In addition, the study by Hartel et al [13] and the study by Koheler et al [15] show a potential overlap of part of patients, as they are studies conducted by the same teams at the same institution at different time.
Erratum: Laparo-assisted vaginal radical hysterectomy as a safe option for minimal invasive surgery in early stage cervical cancer: A systematic review and meta-analysis (Gynecologic Oncology (2022) 166(1) (188–195), (S0090825822002517), (10.1016/j.ygyno.2022.04.010))
2022, Gynecologic OncologyCitation Excerpt :One other by Querleu [19] showed only data about recurrence rate. Except for Chiva [23], Nam [29], Park [18], Sharma [29] and Steed [30], the other 13 studies presented OS data. By alphabetic, Chiva et al. [23] performed a retrospective comparison between MIS and ARH.
Role of minimally invasive surgery in gynecologic malignancies
2018, Clinical Gynecologic OncologyRole of Minimally Invasive Surgery in Gynecologic Malignancies
2012, Clinical Gynecologic Oncology: Eighth EditionLaparoscopic assisted radical vaginal hysterectomy for cervical carcinoma: Morbidity and long-term follow-up
2010, European Journal of Surgical Oncology
Presented at the VIII meeting of the International Gynecologic Cancer Society, Buenos Aires, Argentina, October 22–26, 2000.