GynecologyLaparoscopic radical hysterectomy (type III) with aortic and pelvic lymphadenectomy in patients with stage I cervical cancer: Surgical morbidity and intermediate follow-up☆
Section snippets
Material and methods
From July 1, 1994, through December 31, 1996, 84 patients with stage IA2 or IB cervical cancer underwent laparoscopy with the intent to perform a radical hysterectomy (type III) with pelvic and aortic lymph node dissection (Table).Finding Patients (No.) Recurrent disease (%) Patients alive (%) Stage Ia2 26 8 96 IB 52 12 92 Grade 1 9 22 78 2 20 0 95 3 49 12 96 Cell type Squamous 68 10 96 Adenocarcinoma 8 13 88 Adenosquamous 2 50 50
Results
Six of the 84 patients were found to have either microscopically or macroscopically positive aortic lymph nodes, macroscopically positive pelvic lymph nodes, or extracervical disease and were excluded from this analysis. The remaining 78 patients serve as the basis of this report. All patients had a GOG performance status of 0 or 1 and a Quetelet index of <35.4, 5 The average age was 41.5 years (range, 26-62 years).9 Sixty-eight patients had squamous cell carcinoma; 8 patients had
Comment
Issues regarding the use of minimally invasive surgical techniques in the patient cervical cancer, center on (1) applicability, (2) operative and postoperative morbidity and mortality, (3) risk of recurrence and overall survival, and (4) adequacy.
Seventy-three of 84 patients (89%) with stage IA and IB cervix cancer successfully underwent laparoscopic radical hysterectomy with or without adnexectomy and aortic and pelvic lymph node dissection in patients with Quetelet indices <35. To discuss the
References (22)
- et al.
Laparoscopic radical hysterectomy (type III) with aortic and pelvic lymphadenectomy
Am J Obstet Gynecol
(1996) - et al.
A prospective surgical pathological study of stage I squamous cell carcinoma of the cervix: a Gynecologic Oncology Group study
Gynecol Oncol
(1989) - et al.
Incidence and effect on survival of abdominal wall metastases at trocar or puncture sites following laparoscopy or paracentesis in women with ovarian cancer
Gynecol Oncol
(1996) - et al.
Laparoscopic bilateral pelvic and para-aortic lymph node sampling: an evolving technique
Am J Obstet Gynecol
(1995) - et al.
Surgical stapling technique for radical hysterectomy
Gynecol Oncol
(1994) Laparoscopically assisted radical vaginal hysterectomy
Gynecol Oncol
(1993)- et al.
Laparoscopy-assisted radical vaginal hysterectomy modified to Schauta-Stoeckel
Obstet Gynecol
(1996) - et al.
Radical hysterectomy: a randomized study comparing two techniques for resection of the cardinal ligament
Gynecol Oncol
(1993) - et al.
Laparoscopic surgical staging in cervical cancer: preliminary experience among Chinese
Gynecol Oncol
(1997) - et al.
Pelvic lymph node dissection under perioperative lymphographic control
Gynecol Oncol
(1974)
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