A comparison of extraperitoneal versus transperitoneal laparoscopic or robotic para-aortic lymphadenectomy for staging of endometrial carcinoma

Gynecologic Oncology
Janelle PakishPedro T Ramirez

Abstract

The optimal surgical approach for complete lymphadenectomy in patients with endometrial cancer is controversial. The objective of our study was to compare the surgical outcomes of extraperitoneal laparoscopic, transperitoneal laparoscopic, and robotic transperitoneal para-aortic lymphadenectomy in endometrial cancer staging. A retrospective review was performed on patients who underwent extraperitoneal or transperitoneal para-aortic lymphadenectomy for endometrial cancer staging from January 2007 to November 2012. Three patient groups were compared: extraperitoneal laparoscopic para-aortic lymphadenectomy, robotic hysterectomy and pelvic lymphadenectomy ("extraperitoneal group"; N = 34); laparoscopic hysterectomy and transperitoneal pelvic and para-aortic lymphadenectomy ("transperitoneal laparoscopic group"; N = 108); and robotic hysterectomy and transperitoneal pelvic and para-aortic lymphadenectomy ("transperitoneal robotic group"; N = 52). Fisher's exact test and Kruskal-Wallis test were used for statistical analysis, and statistical significance was defined as P < 0.05. The median number of para-aortic lymph nodes obtained was higher in the extraperitoneal group than in the transperitoneal laparoscopic and robotic groups (...Continue Reading

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Citations

Dec 5, 2015·Annals of Oncology : Official Journal of the European Society for Medical Oncology·N ColomboUNKNOWN ESMO-ESGO-ESTRO Endometrial Consensus Conference Working Group
Dec 20, 2015·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Nicoletta ColomboUNKNOWN ESMO-ESGO-ESTRO Endometrial Consensus Conference Working Group
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Dec 30, 2014·Gynecologic Oncology·Jeffrey A JamesRobert W Holloway
Dec 3, 2014·Journal of Minimally Invasive Gynecology·Cherif AkladiosArnaud Wattiez
Jan 24, 2016·Journal of Minimally Invasive Gynecology·Giorgio BoganiFrancesco Raspagliesi
Apr 24, 2018·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Minna M MäenpääJohanna U Mäenpää
Aug 2, 2017·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Thomas IndMarielle Nobbenhuis
May 14, 2016·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Adriano Rodríguez-TrujilloJaume Pahisa
Dec 10, 2015·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Nicoletta ColomboUNKNOWN ESMO-ESGO-ESTRO Endometrial Consensus Conference Working Group
Aug 14, 2015·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Fabrice NarducciEric Leblanc
Feb 6, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Albert Reyes ClaretÁngel Martín Jiménez
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Apr 30, 2017·Molecular and Clinical Oncology·Xuyin ZhangKeqin Hua
Jan 13, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Katherine J PulmanTaymaa May
Oct 11, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Anna JacobChristhardt Kohler
Sep 23, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Gülşen Doğan DurdağHüsnü Çelik
May 30, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·Y SalhiC Mimoun

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