Laparoscopic extraperitoneal para-aortic lymphadenectomy as a classification method in locally advanced cervical cancer: Report of a series of cases
Keywords:
Uterine Cervical Cancer, Cancer Staging, Lymph Nodes, Lymph Node Excision, Laparoscopy, ExtraperitonealAbstract
A description is presented on the surgical experience of 10 patients who underwent laparoscopic extraperitoneal para-aortic lymphadenectomy (LEPL) in order to classify locally advanced cervical carcinoma (LACC), as well as a literature review.
Methods: A literature search was performed in MEDLINE and EMBASE using the following keywords:’’Uterine Cervical Cancer; Cancer Staging; Lymph Nodes; Lymph Node Excision; Laparoscopy; extraperitoneal’’. The surgical technique for LEPL is described, as well as the outcomes of the 10 patients who underwent surgery.
Results: A total of 10 patients, with ages between 29 and 65 years and with LACC underwent LPEL. There were surgical blood losses between 5 to 30 cc, a lymph node count between 2 and 11, no surgical complications, and a hospital stay of between 1 and 3 days.
Conclusion: This is the first experience reported for LPEL for LACC in Colombia. It is a safe, feasible, and useful procedure to identify para-aortic involvement.
Author Biographies
Jesús Acosta, Instituto Nacional de Cancerología
Clínica de Ginecología Oncológica, Instituto Nacional de Cancerología, Bogotá D. C, Colombia
Javier Burbano, Instituto Nacional de Cancerología
Posgrado en Ginecología Oncológica, Universidad Militar Nueva Granada, Bogotá D. C., Colombia - Instituto Nacional de Cancerología, Bogotá D. C, Colombia
Adriana Alméciga, Instituto Nacional de Cancerología
Posgrado en Ginecología Oncológica, Universidad Militar Nueva Granada, Bogotá D. C., Colombia - Instituto Nacional de Cancerología, Bogotá D. C, Colombia
Juan Carlos Velásquez, Instituto Nacional de Cancerología
Grupo de Oncológica Clínica, Instituto Nacional de Cancerología, Bogotá D. C, Colombia
Amaranto Suárez, Instituto Nacional de Cancerología
Grupo de Investigación Clínica, Instituto Nacional de Cancerología, Bogotá D.C, Colombia
David López, Instituto Nacional de Cancerología
Grupo de Investigación Clínica, Instituto Nacional de Cancerología, Bogotá D.C, Colombia
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