Laparoscopic abdominal staging in locally advanced cervical cancer

P. Benedetti-Panici, F. Maneschi, G. Cutillo, M. Congiu, M. Franchi, M. Amoroso, S. Greggi, S. Mancuso

Research output: Contribution to journalArticlepeer-review

Abstract

In order to determine patterns of peritoneal spread in locally advanced cervical cancer, 59 patients with previously untreated stages IB and IIA tumor size > 4 cm, IIB, III and IVA cervical cancer were considered for laparoscopic abdominal staging. Fifty-six patients (95%) were considered suitable and underwent laparoscopy. Peritoneal spread was found in 15 (27%) patients. The location was pelvic in nine (17%), extra-pelvic in one (2%), both pelvic and extra-pelvic in four (8%). Peritoneal washing was positive in five (9%) patients, being the unique site of peritoneal spread in one. Overall, 16 (29%) patients had evidence of abdominal disease. The median number of positive sites was one (range 1-4); uterine serosa was positive in nine (17%) patients, pre-vesical peritoneum in seven (13%), Douglas peritoneum in five (10%), paracolic gutter in three (6%), adnexa and omentum in two (4%), and sigmoid serosa in one (2%) patient. One operative complication occurred and all patients were discharged the day after the procedure. To date, with a median follow-up of 27 months (range 7-38), no metastasis has been detected at the trocar insertion sites. To summarize, laparoscopic staging in locally advanced cervical cancer is a safe, feasible and simple technique which is able to accurately detect abdominal disease.

Original languageEnglish
Pages (from-to)194-197
Number of pages4
JournalInternational Journal of Gynecological Cancer
Volume9
Issue number3
DOIs
Publication statusPublished - 1999

Keywords

  • Cancer
  • Cervix
  • Laparoscopy
  • Metastasis
  • Peritoneum
  • Staging

ASJC Scopus subject areas

  • Cancer Research
  • Obstetrics and Gynaecology
  • Oncology

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