Preliminary prospective observations on the laparoscopic management of endometrial carcinoma using the two-stage approach to aortic lymphadenectomy

Kadar, Nicholas

doi:10.1016/s1074-3804(05)80036-2

Cited by 9 publications

(3 citation statements)

References 11 publications

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“…For the laparoscopic LAE, it must be remembered that there is a considerable learning curve [23,24]. Altogether, most of the investigators consider the LAVH ± laparoscopic pelvic and paraaortic LAE for endometrial cancer an attractive alternative to the open surgical approach [25][26][27][28][29][30].…”

Section: Review Of the Literaturementioning

confidence: 99%

Laparoscopic-assisted vaginal hysterectomy with laparoscopic pelvic and paraaortic staging for early endometrial cancer

Ulrich

Rhiem

Janschek³

et al. 2006

Gynecol Surg

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While abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic and paraaortic lymphadenectomy is still considered the gold standard for the surgical treatment of endometrial cancer, the laparoscopicassisted vaginal hysterectomy (LAVH) plus laparoscopic lymphadenectomy has been performed in FIGO stage I endometrial cancer in selected centers for about a decade. Clinical studies have shown that the frequency of intra-and postoperative complications, the pelvic and paraaortic lymph node yield, and-more importantly-the overall survival, are similar both with the laparoscopic-assisted vaginal approach and the abdominal approach in stage I disease. Blood loss and duration of hospital stay may even be reduced with the LAVH. In summary, provided there is compliance with established oncologic guidelines, LAVH with pelvic and paraaortic lymphadenectomy can probably be performed in patients with endometrial cancer FIGO stage I without safety loss.

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Section: Review Of the Literaturementioning

confidence: 99%

Laparoscopic-assisted vaginal hysterectomy with laparoscopic pelvic and paraaortic staging for early endometrial cancer

Ulrich

Rhiem

Janschek³

et al. 2006

Gynecol Surg

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“…Even in the presence of other pelvic pathology, obesity does not seem to limit pelvic lymphadenectomy, thus allowing these women with endometrial cancer to be candidates for the laparoscopic procedure [25]. In addition, primary removal of the aortic nodes is not warranted in most women with endometrial carcinoma and should be restricted to the pelvic lymph nodes [27].…”

Section: Laparoscopic Pelvic and Para-aortic Lymphadenectomymentioning

confidence: 99%

Laparoscopic management of early endometrial cancer: current status

Holub

2006

Gynecol Surg

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Endometrial cancer is the most common form of gynaecological cancer. Laparotomy has traditionally been the surgical treatment of choice, but the laparoscopic approach is gaining wider acceptance by gynaecologic surgeons, and an abundance of clinical information is currently available on all aspects of this approach. Whether in combination with laparoscopic-assisted vaginal or total laparoscopic hysterectomy, laparoscopic staging, including salpingo-oophorectomy and regional lymph-node dissection, is a major component of the treatment of patients with early endometrial cancer. This review examines the various options to treating endometrial cancer and proposes that laparoscopically assisted surgical staging of endometrial cancer is both a feasible and safe option. Comparative analyses of survival and recurrence rates for patients treated by laparoscopy and laparotomy have shown similar survival results. It remains to be proven if these laparoscopic techniques are associated with greater benefits.

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“…Die Anzahl der im Rahmen des Stagings von Endometriumkarzinomen entfernten Lymphknoten ist in den oben genannten vergleichenden Studien entweder gleich für Laparotomie und Laparoskopie [24] oder signifikant höher für laparoskopisches Staging [14]. Für pelvine Lymphknoten wird bei laparoskopischer Lymphadenektomie ein Durchschnitt von 7 [15] bis 23 [19] entfernten Lymphknoten angegeben. Bei Laparotomien rangiert der Durchschnitt der entfernten pelvinen Lymphknoten von 5,3 [14] bis 22 [25].…”

Section: Mit Vier Ausnahmen Wurden Alleunclassified

Laparoskopisch-assistierte vaginale versus abdominale Operationstechnik bei Patientinnen mit Endometriumkarzinom - Eine prospektiv randomisierte Studie

Malur¹,

Steinmetz²,

Possover³

et al. 2002

Geburtsh u Frauenheilk

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Wir vergleichen das laparoskopisch-assistierte vaginale mit dem abdominalen Vorgehen zur operativen Behandlung von Patientinnen mit Endometriumkarzinom. Patientinnen und Methodik: Im Zeitraum von Juli 1995 bis Mai 2001 wurden 98 Patientinnen mit einem Endometriumkarzinom der FIGO-Stadien I ± III prospektiv für den laparoskopisch-assistierten vaginalen oder abdominalen Operationsweg randomisiert. Ergebnisse: 52 Patientinnen wurden der Laparoskopie-, 46 Patientinnen der Laparotomiegruppe zugewiesen. Eine Lymphonodektomie erfolgte bei 36 Patientinnen laparoskopisch und bei 38 Patientinnen im Rahmen der Laparotomie. Ein signifikanter Vorteil des laparoskopisch-assistierten vaginalen Operationsweges konnte für die Parameter Blutverlust, Transfusionsrate, Verlauf der postoperativen Phase und stationäre Verweildauer sowie Langzeitkomplikationen evaluiert werden. Bezüglich Anzahl entfernter Lymphknoten, Operationszeiten, intraund postoperativen Komplikationen wurden keine Unterschiede zwischen beiden Techniken beobachtet. Rezidivfreies und Gesamtüberleben differierten zwischen beiden Gruppen nicht signifikant. Schlussfolgerung: Im Vergleich zur konventionellen abdominalen Operationstechnik erreicht man mit laparoskopisch-assistierten vaginalen Operationsverfahren bei der Behandlung des Endometriumkarzinoms eine geringere Morbidität.

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Preliminary prospective observations on the laparoscopic management of endometrial carcinoma using the two-stage approach to aortic lymphadenectomy

Cited by 9 publications

References 11 publications

Laparoscopic-assisted vaginal hysterectomy with laparoscopic pelvic and paraaortic staging for early endometrial cancer

Laparoscopic-assisted vaginal hysterectomy with laparoscopic pelvic and paraaortic staging for early endometrial cancer

Laparoscopic management of early endometrial cancer: current status

Laparoskopisch-assistierte vaginale versus abdominale Operationstechnik bei Patientinnen mit Endometriumkarzinom - Eine prospektiv randomisierte Studie

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