Laparoscopic surgical staging in cervical cancer--preliminary experience among Chinese
Abstract
With the availability of modern laparoscopic equipment and the ability to perform advanced operative procedures, there are a growing number of circumstances under which operative laparoscopy is applicable to patients with gynecologic malignancies. From May 1992 to December 1995, a total of 67 patients with cervical carcinoma of different FIGO stages underwent pretreatment evaluation of pelvic or para-aortic lymph node status by means of laparoscopic dissection. Four patients with FIGO stage Ia2 and 35 patients with FIGO stage Ib cervical carcinoma received pelvic lymphadenectomy of the external iliac, internal iliac, and the obturator regions; the rest of the 28 patients with advanced FIGO stages had para-aortic lymphadenectomy only. Of these advanced cases, 15 patients were FIGO stage IIb, 8 were FIGO stage IIIa, and 5 were FIGO stage IIIb. All cases were followed up from 6 to 40 months. All the patients tolerated the procedures smoothly except one patient with incomplete procedure due to bleeding from vena cava. In pelvic lymphadenectomy cases, an average of 14.2 nodes from the right side and 12.5 nodes from the left side were removed through laparoscope, and in para-aortic lymphadenectomy cases, an average of 8 lymph nodes w...Continue Reading
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