title: Laparoscopic-assisted radical parametrectomy including pelvic and/or paraaortic lymphadenectomy in women after prior hysterectomy-three cases.
abstract: 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 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-assisted radical parametrectomy including a pelvic and/or paraaortic lymphadenectomy was performed on two patients presenting invasive cervical cancer diagnosed after a simple hysterectomy and one patient with recurred endometrial cancer in the vaginal stump. All three patients had an excellent clinical outcome and made a rapid recovery with no major complications, even though two cases involved a bladder laceration.
  
  
  CONCLUSIONS
  A laparoscopic radical parametrectomy including a pelvic and/or paraaortic lymphadenectomy is a viable technique for women with invasive cervical cancer or recurrent endometrial vaginal cancer after a prior hysterectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Kyungpook National University, School of Medicine, 50 Samduk 2 Ga, Taegu, Korea 700-412. yslee@knu.ac.kr
authors.forename: Yoon S
authors.initials: YS
authors.lastname: Lee
authors.forename: Taek H
authors.initials: TH
authors.lastname: Lee
authors.forename: Tae B
authors.initials: TB
authors.lastname: Koo
authors.forename: Young L
authors.initials: YL
authors.lastname: Cho
authors.forename: Il S
authors.initials: IS
authors.lastname: Park
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy / Q000379:methods; D008197:Lymph Node Excision; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000601:surgery