title: Laterally extended parametrectomy (LEP), the technique for radical pelvic side wall dissection: Feasibility, technique and results.
abstract: A new surgical method was introduced for the treatment of Ib lymph node positive and IIb cervical cancer patients. The lateral resection plane corresponds to the true pelvic side wall, the plane represented by the internal obturator muscle, the linea arcuata, and the piriformis muscle with the convergent branches of the sacral plexus. The LEP procedure overcomes the limitations of the standard class III-IV radical hysterectomy, which leaves in situ the gluteal superior, inferior and pudendal nodes, thus improving local control and survival.
authors.affiliation: Department of Obstetrics, Gynecology and Gynecologic Oncology, St Stephen Hospital, Budapest, Hungary.
authors.forename: László
authors.initials: L
authors.lastname: Pálfalvi
authors.forename: László
authors.initials: L
authors.lastname: Ungár
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010388:Pelvis / Q000601:surgery; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery*