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Total laparoscopic radical parametrectomy, partial colpectomy, and pelvic lymphadenectomy in patients with occult cervical cancer
Author(s) -
Buda Alessandro,
Pellegrino Antonio,
Vitobello Domenico,
Meroni Mario Giuseppe,
Recalcati Dario,
Perego Patrizia
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.05.015
Subject(s) - medicine , occult , cervical cancer , lymphadenectomy , laparoscopy , gynecology , general surgery , cancer , pathology , alternative medicine
Objective To assess total laparoscopic radical parametrectomy (TLRP) with pelvic lymphadenectomy and partial colpectomy as a safe and feasible treatment option for patients with occult cervical cancer. Methods Twelve patients with occult invasive cervical cancer underwent TLRP after prior extrafascial hysterectomy. Results No intraoperative complications occurred. Two patients experienced postoperative complications: an iliac lymphocyst with pyelectasis, and a vaginal evisceration that occurred during sexual intercourse. Nine patients required no further treatment. One patient with residual disease received brachytherapy as adjuvant treatment. Two patients with positive nodes not detected at preoperative work‐up received adjuvant concomitant radiochemotherapy. Conclusion TLRP with pelvic lymphadenectomy is a safe and feasible treatment in patients with occult invasive cervical cancer discovered after extrafascial hysterectomy.