[Pelvic endoscopic lymphadenectomy in the assessment of early cancer of the uterine neck: survey of 25 French hospital centers].
Accurate staging of invasive cervical cancer is essential to its adequate treatment. Current clinical staging of cervical cancer is inaccurate, particularly for lymph-nodes evaluation. At reduced cost and risks laparoscopic pelvic lymphadenectomy allows accurate detection of lymph-node metastases. Its place in the staging of early cervical cancer is being evaluated. Our inquiry, multicentric and including more than 500 laparoscopic pelvic lymphadenectomies, leads to the conclusion that this technique is accurate and is associated with a reduced but variable morbidity depending on the technique and operator's ability. The implications of the results of laparoscopic lymphadenectomy in the type and modalities of subsequent treatment are discussed.
Fidalgo de Matos
C J
CJ
Service de Chirurgie mammaire et pelvienne, Institut Jules Bordet, Bruxelles.
Querleu
D
D
Leblanc
E
E
D005260:Female; D005602:France; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology; D009367:Neoplasm Staging / Q000379:methods*; D002583:Uterine Cervical Neoplasms / Q000473:pathology*
La lymphadénectomie pelvienne endoscopique dans le bilan des cancers précoces du col utérin: enquête auprès de 35 centres hospitaliers français.