PMID: 9419294Jan 7, 1998Paper

Transperitoneal laparoscopic pelvic lymphadenectomy for gynecologic malignancies (I). Technique and results

Surgical Endoscopy
F Lécuru, R Taurelle

Abstract

We reviewed the published experimental and clinical data, available in MEDLINE, and compared them to our experience in a university-affiliated tertiary medical center of obstetrics and gynecology in order to describe the accepted techniques and results of laparoscopic pelvic lymphadenectomy. The procedure requires a four-port access laparoscopy. Dissection boundaries are similar to those for open surgery. Experimental and clinical comparative series have shown that the number of harvested lymph nodes is not significantly different for laparoscopy than for laparotomy. Several authors reported a learning curve, reflecting the surgeon's increasing accuracy with growing operative experience. Obesity and prior history of laparotomy are both factors that impact adversely on the number of nodes harvested and the complication rate. Otherwise, the number of residual nodes is similar for the two approaches. In both cases, it is low, resulting in a high sensitivity (95-100%). The complication rate is directly linked to the surgeon's experience and thus appears low for skilled laparoscopic operators. It is similar to that reported for open surgery. Anesthesiological complications have not been well assessed in the literature on laparoscopi...Continue Reading

Citations

Feb 4, 2006·Current Treatment Options in Oncology·Siobhan M Kehoe, Nadeem R Abu-Rustum
Oct 23, 2010·Journal of Minimally Invasive Gynecology·Shitanshu UppalPedro T Ramirez
Jun 11, 2004·Seminars in Oncology·Emmanuel Barranger, Emile Darai
Jun 18, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Omer DevajaSeyedeh Zahra Rezaei Lalami
Oct 23, 2015·Obstetrical & Gynecological Survey·Bala Bhagavath, Amy Benjamin
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
Nov 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·Andrea PapadiaNicola Ragni

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