Total laparoscopic radical parametrectomy, partial colpectomy, and pelvic lymphadenectomy in patients with occult cervical cancer

Alessandro Buda, Antonio Pellegrino, Domenico Vitobello, Mario Giuseppe Meroni, Dario Recalcati, Patrizia Perego

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)73-76
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume107
Issue number1
DOIs
Publication statusPublished - Oct 2009

Keywords

  • Occult cervical cancer
  • Prior simple hysterectomy
  • Total laparoscopic radical parametrectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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