A new laparoscopic abdominal radical hysterectomy: a pilot phase trial.
The video laparoscopy, hydrodissection and laparoscopic scissors were used to develop adequate tissue planes in avascular pelvic areas. Haemostasis was accomplished by the laparoscopic suturing method and tying an extracorporeal sliding knot, enhanced by an intracorporeal two-turn flat square knot. Six patients with cervical carcinoma stage I B or II A were subjected to laparoscopic para-aortic, external iliac, obturator fosea, and hypogastric node dissection, followed by laparoscopic radical abdominal hysterectomy. The outcome of this pilot phase trial indicated that this operation can be executed laparoscopically with no transvaginal surgery. The integrity and principles of classic transabdominal radical hysterectomy with extended pelvic lymphadenectomy were honoured. Using the surgical technique of laparoscopic abdominal radical hysterectomy with extended pelvic lymphadenectomy eliminates laparotomy morbidity itself. This operation encouraged rapid post-surgical recovery, shortened recuperation time, and minimized post-operative discomfort.
Ostrzenski
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Division of Operative Gynecology, Endoscopy and Laser Surgery, Howard University College of Medicine, Washington, DC, USA.
D000005:Abdomen; D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy; D008875:Middle Aged; D010865:Pilot Projects; D014741:Video Recording