Innovative laparoscopic surgery in gynecologic oncology Journal Article
| Authors: | Kehoe, S. M.; Ramirez, P. T.; Abu-Rustum, N. R. |
| Article Title: | Innovative laparoscopic surgery in gynecologic oncology |
| Abstract: | Minimally invasive surgery has been performed since the early 1990s, and gynecologic oncology surgeons continue to improve their skills for this procedure. Advanced laparoscopic techniques are used to evaluate and treat cervical, endometrial, and ovarian malignancies. Laparoscopy has significant benefits in selected oncologic patients and may be a more useful technique than the abdominal approach. The benefits of laparoscopy include less postoperative pain, less blood loss, shorter length of hospital stay, and a shorter recovery period with no significant increase in complications or morbidity. With emerging data, it appears that the risk of cancer recurrence does not increase with a minimally invasive approach. The incorporation of laparoscopic pelvic and para-aortic lymphadenectomy has expanded the types of procedures performed for the management of certain gynecologic malignancies. New techniques, including hand-assisted laparoscopic procedures and extraperitoneal lymph node dissections, are expanding the role of laparoscopy in the treatment of all gynecologic malignancies. Copyright © 2007 by Current Medicine Group LLC. |
| Keywords: | surgical technique; clinical trial; review; cancer recurrence; patient selection; cancer radiotherapy; disease free survival; cancer staging; recurrence risk; lymph node metastasis; hysterectomy; lymph node dissection; paraaortic lymph node; pelvis lymph node; laparoscopy; endometrium cancer; laparoscopic surgery; laparotomy; salpingooophorectomy; lymphadenectomy; cytoreductive surgery; ovary cancer; bleeding; morbidity; surgical approach; genital neoplasms, female; length of stay; uterine cervix cancer; surgeon; blood vessel injury; intermethod comparison; gynecologic surgical procedures; minimally invasive surgery; surgical procedures, minimally invasive; continuing education; second look surgery; convalescence; gynecologic cancer; gynecologic surgery; postoperative pain; intestine injury; ureter injury; bladder injury |
| Journal Title: | Current Oncology Reports |
| Volume: | 9 |
| Issue: | 6 |
| ISSN: | 1523-3790 |
| Publisher: | Springer |
| Date Published: | 2007-11-01 |
| Start Page: | 472 |
| End Page: | 477 |
| Language: | English |
| DOI: | 10.1007/s11912-007-0066-4 |
| PUBMED: | 17991355 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 4" - "Export Date: 17 November 2011" - "CODEN: CORUA" - "Source: Scopus" |
