Transperitoneal laparoscopic pelvic and paraaortic lymphadenectomy in gynecologic cancers Journal Article
| Authors: | Kehoe, S. M.; Abu-Rustum, N. R. |
| Article Title: | Transperitoneal laparoscopic pelvic and paraaortic lymphadenectomy in gynecologic cancers |
| Abstract: | Laparoscopy, a minimally invasive surgery, may benefit select patients more than traditional abdominal approaches. The benefits of this procedure include low morbidity, shorter length of hospital stay, less blood loss, no significant increase in complications, and a shorter postoperative recovery period; this allows patients to begin adjuvant therapy more quickly. Laparoscopy has been used in gynecologic oncology since the early 1990s and has continued to grow and develop. Complex gynecologic oncology procedures can be performed with a low rate of complication and a low rate of conversion to laparotomy. The literature supports the fact that laparoscopy can be performed with short-term benefit with no increase in morbidity. Although the data are limited and emerging, the risk of cancer recurrence does not appear to increase because of this minimal access approach. Currently, advanced laparoscopic techniques are used to evaluate and treat cervical, endometrial, and ovarian malignancies. Specifically, transperitoneal laparoscopic lymphadenectomy including pelvic and paraaortic nodes is a feasible and efficacious procedure in the management of certain gynecologic malignancies. Copyright © 2006 by Current Science Inc. |
| Keywords: | cancer survival; surgical technique; clinical trial; review; cancer recurrence; postoperative period; cancer risk; cancer adjuvant therapy; lymph node metastasis; paraaortic lymph node; pelvis; laparoscopy; endometrium cancer; laparoscopic surgery; laparotomy; lymph node excision; ovary cancer; pelvis lymphadenectomy; morbidity; genital neoplasms, female; length of stay; feasibility study; uterine cervix cancer; blood vessel injury; nerve injury; intermethod comparison; minimally invasive surgery; vaginal hysterectomy; postoperative hemorrhage; second look surgery; gynecologic cancer; abdominal hysterectomy; intestine injury; ureter injury; bladder injury |
| Journal Title: | Current Treatment Options in Oncology |
| Volume: | 7 |
| Issue: | 2 |
| ISSN: | 1527-2729 |
| Publisher: | Springer |
| Date Published: | 2006-03-01 |
| Start Page: | 93 |
| End Page: | 101 |
| Language: | English |
| DOI: | 10.1007/s11864-006-0044-3 |
| PUBMED: | 16455020 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 9" - "Export Date: 4 June 2012" - "CODEN: CTOOB" - "Source: Scopus" |
