Pretreatment Transperitoneal Laparoscopic Staging Pelvic and Paraaortic Lymphadenectomy in Large (≥5 cm) Stage IB2 Cervical Carcinoma: Report of a Pilot Study

摘要: Abstract Twelve patients with large stage IB2 (5–8 cm) cervical carcinoma underwent transperitoneal laparoscopically directed pelvic and paraaortic lymph node dissection prior to the initiation of radiation therapy. The mean length operation was 176 min estimated blood loss 60 cc. An average 25 nodes were retrieved from each patient: 18 7 nodes. No hospitalized for more than 24 hr. operative complications observed. Pelvic nodal metastases diagnosed in three patients, all whom had negative computerized tomography (CT) scans surgery. All began therapy within 1 week Laparoscopically lymphadenectomy is technically feasible, associated minimal morbidity, short hospital stay, delay therapy, can add valuable information treatment planning.