Laparoscopic-assisted radical parametrectomy including pelvic and/or paraaortic 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 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.
Lee
Yoon S
YS
Department of Obstetrics and Gynecology, Kyungpook National University, School of Medicine, 50 Samduk 2 Ga, Taegu, Korea 700-412. yslee@knu.ac.kr
Lee
Taek H
TH
Koo
Tae B
TB
Cho
Young L
YL
Park
Il S
IS
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