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Total laparoscopic radical hysterectomy (type II-III) with pelvic lymphadenectomy in early invasive cervical cancer.
J Minim Invasive Gynecol. 2005 Mar-Apr; 12(2):113-20.JM

Abstract

STUDY OBJECTIVE

To describe the feasibility and outcome of total laparoscopic radical hysterectomy with pelvic lymphadenectomy in early cervical cancer.

DESIGN

Retrospective, nonrandomized study (Canadian Task Force classification II-2).

SETTING

Acute-care, teaching hospital.

PATIENTS

Twenty-seven nonconsecutive patients with International Federation of Gynecology and Obstetrics (FIGO) stage IA2 (n = 4) or IB1 (n = 23) cancer of the cervix.

INTERVENTION

Laparoscopic type II (n = 9) or type III (n = 18) hysterectomy with systematic bilateral pelvic lymphadenectomy. Monopolar coagulation, vascular clips, and harmonic scalpel were used. Resection of the cardinal and uterosacral ligaments was performed with Endo GIA stapling and the harmonic scalpel.

MEASUREMENTS AND MAIN RESULTS

Histopathologically, there were 20 cases of squamous carcinoma, 6 adenocarcinomas, and 1 adenosquamous carcinoma. The operation was performed entirely by laparoscopy in 26 patients. One patient underwent laparotomy because of equipment failure. The patients' mean age was 45.1 years (95% CI 41.7-48.4), with a median body mass index of 26.0 kg/m2. The mean number of resected pelvic nodes was 19.1 (95% CI 17.02-21.2). Three patients had microscopic metastatic nodal disease. The surgical margins were free of disease in all cases. The median blood loss was 400 mL (range 250-700 mL). The median length of stay was 5 days. Major intraoperative complications did not occur. All patients are free of disease after a median follow-up of 32 months (range 4-52 months).

CONCLUSION

Radical hysterectomy can be successfully completed by laparoscopy in patients with early cervical cancer. This procedure may reduce the morbidity associated with abdominal or transvaginal radical hysterectomy.

Authors+Show Affiliations

Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Maternal-Infant Hospital Vall d'Hebron, Barcelona, Spain. antonioimma@yahoo.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15904613

Citation

Gil-Moreno, Antonio, et al. "Total Laparoscopic Radical Hysterectomy (type II-III) With Pelvic Lymphadenectomy in Early Invasive Cervical Cancer." Journal of Minimally Invasive Gynecology, vol. 12, no. 2, 2005, pp. 113-20.
Gil-Moreno A, Puig O, Pérez-Benavente MA, et al. Total laparoscopic radical hysterectomy (type II-III) with pelvic lymphadenectomy in early invasive cervical cancer. J Minim Invasive Gynecol. 2005;12(2):113-20.
Gil-Moreno, A., Puig, O., Pérez-Benavente, M. A., Díaz, B., Vergés, R., De la Torre, J., Martínez-Palones, J. M., & Xercavins, J. (2005). Total laparoscopic radical hysterectomy (type II-III) with pelvic lymphadenectomy in early invasive cervical cancer. Journal of Minimally Invasive Gynecology, 12(2), 113-20.
Gil-Moreno A, et al. Total Laparoscopic Radical Hysterectomy (type II-III) With Pelvic Lymphadenectomy in Early Invasive Cervical Cancer. J Minim Invasive Gynecol. 2005 Mar-Apr;12(2):113-20. PubMed PMID: 15904613.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Total laparoscopic radical hysterectomy (type II-III) with pelvic lymphadenectomy in early invasive cervical cancer. AU - Gil-Moreno,Antonio, AU - Puig,Oriol, AU - Pérez-Benavente,María A, AU - Díaz,Berta, AU - Vergés,Ramona, AU - De la Torre,Javier, AU - Martínez-Palones,José M, AU - Xercavins,Jordi, PY - 2004/06/03/received PY - 2004/11/05/accepted PY - 2005/5/21/pubmed PY - 2005/6/29/medline PY - 2005/5/21/entrez SP - 113 EP - 20 JF - Journal of minimally invasive gynecology JO - J Minim Invasive Gynecol VL - 12 IS - 2 N2 - STUDY OBJECTIVE: To describe the feasibility and outcome of total laparoscopic radical hysterectomy with pelvic lymphadenectomy in early cervical cancer. DESIGN: Retrospective, nonrandomized study (Canadian Task Force classification II-2). SETTING: Acute-care, teaching hospital. PATIENTS: Twenty-seven nonconsecutive patients with International Federation of Gynecology and Obstetrics (FIGO) stage IA2 (n = 4) or IB1 (n = 23) cancer of the cervix. INTERVENTION: Laparoscopic type II (n = 9) or type III (n = 18) hysterectomy with systematic bilateral pelvic lymphadenectomy. Monopolar coagulation, vascular clips, and harmonic scalpel were used. Resection of the cardinal and uterosacral ligaments was performed with Endo GIA stapling and the harmonic scalpel. MEASUREMENTS AND MAIN RESULTS: Histopathologically, there were 20 cases of squamous carcinoma, 6 adenocarcinomas, and 1 adenosquamous carcinoma. The operation was performed entirely by laparoscopy in 26 patients. One patient underwent laparotomy because of equipment failure. The patients' mean age was 45.1 years (95% CI 41.7-48.4), with a median body mass index of 26.0 kg/m2. The mean number of resected pelvic nodes was 19.1 (95% CI 17.02-21.2). Three patients had microscopic metastatic nodal disease. The surgical margins were free of disease in all cases. The median blood loss was 400 mL (range 250-700 mL). The median length of stay was 5 days. Major intraoperative complications did not occur. All patients are free of disease after a median follow-up of 32 months (range 4-52 months). CONCLUSION: Radical hysterectomy can be successfully completed by laparoscopy in patients with early cervical cancer. This procedure may reduce the morbidity associated with abdominal or transvaginal radical hysterectomy. SN - 1553-4650 UR - https://www.unboundmedicine.com/medline/citation/15904613/Total_laparoscopic_radical_hysterectomy__type_II_III__with_pelvic_lymphadenectomy_in_early_invasive_cervical_cancer_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1553-4650(05)00047-6 DB - PRIME DP - Unbound Medicine ER -