The role of laparoscopy in gynecologic oncology

• Published in: Cancer 1995-11, Vol.76 (S10), p.2113-2116
• Main Authors: Hatch, Kenneth D., Hallum, Alton V., Surwit, Earl A., Childers, Joel M.
• Format: Article
• Language: English
• Subjects: Biological and medical sciences; Clinical Trials as Topic; Female; Genital Neoplasms, Female - pathology; Genital Neoplasms, Female - surgery; gynecologic cancer; Humans; Laparoscopy; Lymph Node Excision; Medical sciences; Neoplasm Staging; node dissection; Schauta hysterectomy; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the genital tract and mammary gland
• ISSN: 0008-543X; 1097-0142
• DOI: 10.1002/1097-0142(19951115)76:10+<2113::AID-CNCR2820761334>3.0.CO;2-M

The use of laparoscopy in the management of gynecologic malignancies has significantly increased over the last 5 years. The safety and adequacy of pelvic and para‐aortic lymphadenectomy has been established by several investigators. Patients with early carcinoma of the cervix are now undergoing Schauta (radical vaginal) hysterectomy after laparoscopic lymphadenectomy. Patients with carcinoma of the endometrium are treated by laparoscopically assisted vaginal hysterectomy in conjunction with laparoscopic pelvic and para‐aortic lymphadenectomy. Staging and second‐look procedures are now being performed laparoscopically in patients with carcinoma of the ovary. The Gynecologic Oncology Group is currently investigating the role of laparoscopic surgery for patients with carcinoma of the cervix, endometrium, and ovary in four Phase II trials. A randomized Phase III trial comparing laparoscopy to laparotomy For patients with carcinoma of the endometrium will begin soon. Cancer 1995;76:2113–6.