Laparoscopic Pelvic Lymphadenectomy in Cervical Cancer.
- Author:
Yoon Soon LEE
;
Bong Jae YU
;
Yeon Joo JEONG
;
Han Il JEONG
;
Choon Sik JEON
;
Dae Guen KIM
;
Il Soo PARK
- Publication Type:Original Article
- Keywords:
cervical cancer;
laparoscopic pelvic lymphadenectomy
- MeSH:
Carcinoma, Squamous Cell;
Cervix Uteri;
Female;
Humans;
Hysterectomy;
Hysterectomy, Vaginal;
Laparoscopy;
Laparotomy;
Lymph Node Excision*;
Lymph Nodes;
Uterine Cervical Neoplasms*
- From:Korean Journal of Gynecologic Oncology and Colposcopy
1994;5(4):9-14
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We performed laparoscopic pelvic lymphadenectomy in 7 patients with squamous cell carcinoma in the uterine cervix. Among them, 5 cases were subsently laparotomy with radical hysterectomy. The others, one case was performed Laparoscpic pelvic lymphadenectomy as Staging Procedure and the other was laparoscopically assisted radical vaginal hysterectomy with pelvic lymphadenectomy without complication. The following results were obtained 1. Total number of pelvic nodes obtained at laparoscopy in 7 cases were 104 2. Averege number of pelvic nodes obtained at laparoscopy were 14.2+/-6.38(7-23) 3. Average number of additional pelvic nodes obtained at laparotomy were 10.4+/-279(7-13) 4. % yield by laparoscopy/laparoscopy+laparotomy was 71/123(58%) 5. No positive metastatic lymph nodes were missed by laparartomy 6. Average time, blood loss at laparoscopic lymphadenectomy was 172.1min and 304.3ml, seperately 7. surgical staging procedure was performed at Case 3 8. Laparoscopic Pelvic lym phadenectomy with radieal vaginal hysterectomy (type II radical) was done in Case 5. without Laparotomy or complication.
