Laparoscopic radical parametrectomy including paraaortic and pelvic lymphadenectomy in women after prior hysterectomy: three cases.
BACKGROUND
Radical abdominal surgery in patients who have previously undergone a hysterectomy is a surgical challenge. This type of surgery for invasive cervical cancer after a hysterectomy or for vaginal stump metastasis traditionally requires a major laparotomy; however, a minimal access approach is now being applied to this type of procedure.


METHODS
A laparoscopic radical parametrectomy including a paraaortic and pelvic lymphadenectomy was performed on two patients with invasive cervical cancer diagnosed after a simple hysterectomy and one patient with recurrent endometrial cancer in the vaginal stump.


RESULTS
All three patients had an excellent clinical outcome and made a rapid recovery, even though two cases involved a bladder laceration.


CONCLUSIONS
A laparoscopic radical parametrectomy including a paraaortic and pelvic lymphadenectomy is a viable technique for women with invasive cervical cancer or recurrent endometrial vaginal cancer after a prior hysterectomy.
Lee
Yoon S
YS
Department of Obstetrics and Gynecology, Kyungpook National University, School of Medicine, Taegu, Korea. yslee@knu.ac.kr
Lee
Taek H
TH
Koo
Tae B
TB
Cho
Young L
YL
Park
Is
I
D000328:Adult; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D010535:Laparoscopy; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D002583:Uterine Cervical Neoplasms / Q000601:surgery*