Laparoscopic debulking of bulky lymph nodes in women with cervical cancer: indication and surgical outcomes.

摘要: Objective  To describe the technique and surgical outcome of laparoscopic resection bulky lymph nodes before adjuvant treatment. Design  Prospective pilot study. Setting  Gynaecological oncology cancer centre. Population  From January 2006 to February 2008, 22 consecutive women presented with cervical metastatic (>2 cm). Methods  All underwent by laparoscopy. A prospective record main outcomes was performed. Main measures  Safety efficacy nodes, conversion laparotomy, intra- perioperative morbidity. Results  operations were completed Median operative time 197 minutes (range 180–320). blood loss 60 cc 10–100), two experienced complications: one thermal injury sciatic root provoking postoperative leg palsy chylous ascites. The woman has recovered most function physiotherapy ascites within 2 weeks, slightly delaying treatment. discharged 4 days from operation 2–4). Pathology reports confirmed presence tumour metastases size. treatment started at a median 12 3–22). Conclusion  Debulking large pelvic para-aortic effectively accomplished laparoscopy in all 9% complication rate. is similar historical series on operated advantage faster recovery an early start