[Complications of laparoscopic lymphadenectomy in gynaecologic oncology. A series of 1102 procedures in 915 patients].
OBJECTIVE
Evaluate complications of pelvic and para aortic laparoscopic lymphadenectomies in oncologic gynaecology to confirm the surgical approach and include it in current therapy.


METHODS
From December 1998 to March 2004, 915 patients underwent pelvic and/or aortic lymphadenectomies by laparoscopy. Among them, 771 were operated on at the centre Oscar-Lambret (Lille, France), whereas 144 underwent surgery at the institut Claudius-Regaud (Toulouse, France). Laparoscopic lymphadenectomies could be indicated along with other procedures in 98 early adnexal carcinomas, in 237 cervical carcinomas and 216 locally advanced cervical carcinomas. It may also be included as part of cancer therapy with (radical) hysterectomy/trachelectomy in 161 endometrial and 203 up front surgical cervical carcinomas.


RESULTS
A total of 1102 pelvic and aortic lymphadenectomies have been performed: 714 pelvic (694 trans peritoneal, 20 extra peritoneal) and 388 aortic lymphadenectomies (154 transperitoneal, 234 extraperitoneal). Seventeen open surgeries (1.85%) were necessary for technical reasons or complications.


CONCLUSIONS
Laparoscopic lymphadenectomies are safe and accurate with no more complications than by laparotomy and no death up to now.
Cartron
G
G
Institut Claudius-Regaud, 20-24, rue du Pont-St-Pierre, 31052 Toulouse cedex, France. gcartron@aol.com
Leblanc
E
E
Ferron
G
G
Martel
P
P
Narducci
F
F
Querleu
D
D
D000291:Adnexal Diseases / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008197:Lymph Node Excision / Q000009:adverse effects* / Q000379:methods; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000145:classification*; D012189:Retrospective Studies; D012449:Safety; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*