Single-port laparoscopy and extraperitoneal para-aortic lymphadenectomy: about fourteen consecutive cases.

Abstract

OBJECTIVE:

To report the feasibility and reproducibility of single port extraperitoneal para-aortic lymphadenectomy in locally advanced cervical cancer.

METHODS:

The same single port was used for the transperitoneal step and the extraperitoneal approach used thereafter (in the absence of peritoneal disease) for the lymphadenectomy. Para-aortic lymphadenectomy was performed via a left-sided extraperitoneal approach.

RESULTS:

Fourteen consecutive patients with cervical cancer underwent a laparoscopic staging procedure (3 stage IB2, 10 IIB and 1 stage IVA). No patient had para-aortic FDG uptake on PET/CT. In one case lymphadenectomy was unfeasible because of vascular anomalies of the renal vessels (low insertion of 2 left renal arteries). The median operative time was 190 min (range, 135-250). The median number of lymph nodes removed was 14 [range, 2-23]. The definitive pathological analysis revealed that three patients had metastatic disease. No conversion to conventional multiport laparoscopy was necessary.

CONCLUSIONS:

This series reports that para-aortic lymphadenectomy technique via the extraperitoneal approach with a multichannel single port is feasible and reproducible.

• Authors: Sébastien Gouy, Aminata Kane, Catherine Uzan, Tristan Gauthier, Jennifer Gilmore, Philippe Morice
• Journal: Gynecologic oncology (Gynecol Oncol) Vol. 123 Issue 2 Pg. 329-32 (Nov 2011) ISSN: 1095-6859 [Electronic] United States
• PMID: 21820162 (Publication Type: Journal Article)
• Copyright: Copyright © 2011 Elsevier Inc. All rights reserved.

Topics

• Adult
• Aged
• Female
• Humans
• Laparoscopy (methods)
• Lymph Node Excision (methods)
• Middle Aged
• Uterine Cervical Neoplasms (surgery)