2009, Number 05
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Ginecol Obstet Mex 2009; 77 (05)
Laparoscopy for staging and treatment of cervical cancer
Maffuz A, Cortés G, López D, Quijano F
Language: Spanish
References: 33
Page: 213-218
PDF size: 302.28 Kb.
ABSTRACT
Background: Laparoscopic surgery for cervical cancer (CC) study and treatment is one of the main achievements in last years.
Objective: Describe the feasibility and experience of laparoscopic procedures for CC staging and treatment.
Patients and Method: A retrospective analysis of 75 patients with CC in different stages was done, group I included CC
in situ patients treated with type I Piver hysterectomy, in group 2, patients with early CC treated with type II or III radical hysterectomy with pelvic lymphadenectomy and para-aortic lymph node sampling, and group 3 patients with locally advanced CC submitted to pelvic and para-aortic lymphadenectomy. We analyzed operating time, bleeding, hospital stay, conversion to laparotomy, late complications and tumor recurrence.
Results: Thirty patients were included in group 1, 31 in group 2 and 14 in group 3, mean operating time was 143, 270 and 136 minutes, bleeding 170, 460 and 80mL, hospital stay was 1.6, 3.6 and 1.5 days and conversion to laparotomy was 3%, 9.7% and 0%, respectively for each group.
Conclusion: Laparoscopy is a safe procedure for the staging and treatment of cervical cancer in its different stages.
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