title: Laparoscopic radical parametrectomy and pelvic and aortic lymphadenectomy for vaginal carcinoma: A case report.
abstract: OBJECTIVE
  The objective of this study was to examine the feasibility of laparoscopic radical parametrectomy after previous hysterectomy.
  
  
  METHODS
  This was a prospective study of a patient with vaginal adenocarcinoma after previous simple hysterectomy. The technique of radical parametrectomy with vaginectomy and pelvic and aortic lymphadenectomy as used for open cases for years was performed laparoscopically.
  
  
  RESULTS
  The operating time was 270 min, the estimated blood loss was 200 mL, and the duration of hospitalization was 3 days. There were no intraoperative or postoperative complications.
  
  
  CONCLUSIONS
  Radical parametrectomy with vaginectomy and pelvic and aortic lymphadenectomy can be successfully accomplished laparoscopically.
authors.affiliation: Department of Obstetrics and Gynecology, Mayo Clinic Scottsdale, Scottsdale, Arizona 85259, USA.
authors.forename: J F
authors.initials: JF
authors.lastname: Magrina
authors.forename: A J
authors.initials: AJ
authors.lastname: Walter
authors.forename: S E
authors.initials: SE
authors.lastname: Schild
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D008197:Lymph Node Excision; D008875:Middle Aged; D011446:Prospective Studies; D014621:Vagina / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000473:pathology / Q000601:surgery*