TY - JOUR
T1 - Usefulness of extraperitoneal laparoscopic paraaortic lymphadenectomy for lymph node recurrence in gynecologic malignancy
AU - Gil-Moreno, Antonio
AU - Franco-Camps, Silvia
AU - Díaz-Feijoo, Berta
AU - Pérez-Benavente, Asumpció
AU - Martínez-Palones, José M.
AU - Del Campo, José M.
AU - Parera, Marta
AU - Vergés, Ramona
AU - Castellví, Josep
AU - Xercavins, Jordi
PY - 2008/8/21
Y1 - 2008/8/21
N2 - Objective. The aim of this study was to evaluate the safety and feasibility of extraperitoneal laparoscopic paraaortic lymphadenectomy for suspected lymph node recurrence of gynecological cancers. Design. Descriptive study. Setting. Unit of Gynecologic Oncology of an acute-care teaching hospital in Barcelona, Spain. Population. Between December 2002 and October 2007, eight women underwent extraperitoneal laparoscopic paraaortic lymphadenectomy for suspected lymph node recurrence, detected by magnetic resonance image (MRI), computed tomography (CT) scan or 18F-fluorodeoxyglucose positron emission tomography (PET) scanning. The suspicious nodes were removed through an extraperitoneal laparoscopic approach. Resuts. The median age of patients was 66.5 years (range: 54-74). The median operating time was 157.5 minutes (range: 120-240). The median blood loss was 112.5 mL (range: 50-150). The mean nodal yield was 9.4±4.72 (range: 1-16). There were no intraoperative or postoperative complications. The median hospital stay was two days. Histological examination revealed metastasis in seven of eight patients. Conclusions. The extraperitoneal laparoscopic paraaortic lymphadenectomy for lymph node recurrence of gynecological cancers is a safe and feasible procedure which should be considered where there is isolated involvement of retroperitoneal lymph nodes. This procedure is a minimally invasive technique that allows an excellent approach to the paraaortic lymph nodes. © 2008 Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS).
AB - Objective. The aim of this study was to evaluate the safety and feasibility of extraperitoneal laparoscopic paraaortic lymphadenectomy for suspected lymph node recurrence of gynecological cancers. Design. Descriptive study. Setting. Unit of Gynecologic Oncology of an acute-care teaching hospital in Barcelona, Spain. Population. Between December 2002 and October 2007, eight women underwent extraperitoneal laparoscopic paraaortic lymphadenectomy for suspected lymph node recurrence, detected by magnetic resonance image (MRI), computed tomography (CT) scan or 18F-fluorodeoxyglucose positron emission tomography (PET) scanning. The suspicious nodes were removed through an extraperitoneal laparoscopic approach. Resuts. The median age of patients was 66.5 years (range: 54-74). The median operating time was 157.5 minutes (range: 120-240). The median blood loss was 112.5 mL (range: 50-150). The mean nodal yield was 9.4±4.72 (range: 1-16). There were no intraoperative or postoperative complications. The median hospital stay was two days. Histological examination revealed metastasis in seven of eight patients. Conclusions. The extraperitoneal laparoscopic paraaortic lymphadenectomy for lymph node recurrence of gynecological cancers is a safe and feasible procedure which should be considered where there is isolated involvement of retroperitoneal lymph nodes. This procedure is a minimally invasive technique that allows an excellent approach to the paraaortic lymph nodes. © 2008 Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS).
KW - Extraperitoneal laparoscopy
KW - Gynecologic cancers
KW - Paraaortic lymphadenectomy
KW - Recurrence
U2 - 10.1080/00016340802136343
DO - 10.1080/00016340802136343
M3 - Article
VL - 87
SP - 723
EP - 730
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
SN - 0001-6349
IS - 7
ER -