The role of laparoscopy in the management of gynecologic malignancy

C Nezhat, F Nezhat, Camran Nezhat, Farr Nezhat, N N Teng, Nelson N.H. Teng, B Edraki, C H Nezhat, Babak Edraki, M O Burrell, Ceana H Nezhat, B B Benigno, Matthew O. Burrell, C E Ramirez, Benedict B. Benigno, Carlos E. Ramírez
Seminars in surgical oncology · 1994 · vol. 10(6) , pp. 431–439 · doi:10.1002/ssu.2980100611 · PMID:7855480 · W2027320230
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Operative videolaparoscopy is utilized for cervical cancer management and endometrial and ovarian cancer staging/treatment, including radical hysterectomy, lymphadenectomy, and second look laparoscopy, though further prospective studies are needed.

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Abstract

With the advent of minimally invasive laparoscopic techniques, most gynecologic procedures for benign conditions can be performed in an outpatient setting. However, the role of such techniques in gynecologic oncology is not well defined. By reviewing the literature and presenting some new data, we attempt to elucidate the applications of operative videolaparoscopy in gynecologic oncology. Advanced laparoscopic techniques are utilized for the management of cervical cancer as well as the staging and treatment of endometrial and ovarian cancers. Such techniques are used in performing radical hysterectomy for early stage cervical cancer, pelvic and paraaortic lymphadenectomy, and second look laparoscopy following chemotherapy for ovarian cancer. Even though preliminary data are encouraging, large prospective controlled studies with long-term follow-up are necessary to better define the role and limitations of laparoscopy in the treatment of gynecologic malignancies.

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MeSH descriptors

Genital Neoplasms, Female Genital Neoplasms, Female Laparoscopy Laparoscopy Female Genital Neoplasms, Female Humans Hysterectomy Hysterectomy Laparoscopes Lymph Node Excision Lymph Node Excision Lymph Node Excision Reoperation Reoperation

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