[Place of celiosurgery in the extensive diagnosis of gynecologic cancers].
Laparoscopic surgery occupies an increasingly important place in the diagnosis and staging of gynaecological cancers. It allows repeated complete investigation of the abdomen and retroperitoneum: macroscopic examination of the peritoneum, cytology, biopsies, infracolonic omentectomy, appendicectomy, pelvic and para-aortic lymphadenectomy, without interfering with therapeutic procedures (simple or radical hysterectomy) which can be associated. In cancers of the endometrium, it is part of a surgical strategy associating vaginal hysterectomy. In ovarian cancers, it is essentially applied to restaging of insufficiently explored apparent stage I tumours. In operable cervical cancer, it guides the therapeutic protocol and surgical indication by allowing interiliac lymphadenectomy. In advanced cervical cancers, it is used to detect para-aortic lymph nodes.
Querleu
D
D
Service de Chirurgie Gynécologique-Cancérologie, Pavillon Paul-Gellé, Roubaix.
Leblanc
E
E
Castelain
B
B
D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D010051:Ovarian Neoplasms / Q000601:surgery*; D002583:Uterine Cervical Neoplasms / Q000601:surgery*
Place de la coeliochirurgie dans le diagnostic d'extension des cancers gynécologiques.