Laparoscopic-assisted radical parametrectomy including pelvic and/or paraaortic lymphadenectomy in women after prior hysterectomy—three cases

Radical abdominal surgery in patients who have previously undergone a hysterectomy is a surgical challenge. This type of surgery for invasive cervical cancer after a hysterectomy or vaginal stump metastasis traditionally requires a major laparotomy; however, a minimal-access approach is now being ap...

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Bibliographic Details
Published in:Gynecologic oncology 2003-12, Vol.91 (3), p.619-622
Main Authors: Lee, Yoon S, Lee, Taek H, Koo, Tae B, Cho, Young L, Park, Il S
Format: Article
Language:English
Subjects:
Adenocarcinoma - surgery
Adult
Biological and medical sciences
Carcinoma, Squamous Cell - surgery
Endometrial Neoplasms - surgery
Female
Female genital diseases
Gynecologic Surgical Procedures - methods
Gynecology. Andrology. Obstetrics
Humans
Hysterectomy
Invasive cervical cancer
Laparoscopic-assisted radical parametrectomy
Laparoscopy - methods
Lymph Node Excision
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - surgery
Recurrent endometrial cancer
Simple hysterectomy
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Treatment Outcome
Tumors
Uterine Cervical Neoplasms - surgery
Vaginal Neoplasms - surgery
Vaginal stump
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Summary:Radical abdominal surgery in patients who have previously undergone a hysterectomy is a surgical challenge. This type of surgery for invasive cervical cancer after a hysterectomy or vaginal stump metastasis traditionally requires a major laparotomy; however, a minimal-access approach is now being applied to this type of procedure. A laparoscopic-assisted radical parametrectomy including a pelvic and/or paraaortic lymphadenectomy was performed on two patients presenting invasive cervical cancer diagnosed after a simple hysterectomy and one patient with recurred endometrial cancer in the vaginal stump. All three patients had an excellent clinical outcome and made a rapid recovery with no major complications, even though two cases involved a bladder laceration. A laparoscopic radical parametrectomy including a pelvic and/or paraaortic lymphadenectomy is a viable technique for women with invasive cervical cancer or recurrent endometrial vaginal cancer after a prior hysterectomy.
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2003.08.008