title: Laparoscopic lymphadenectomy for isolated lymph node recurrence in gynecologic malignancies.
abstract: OBJECTIVE
  To assess the feasibility and efficacy of laparoscopic lymphadenectomy in patients with isolated lymph node recurrences (ILNR) who underwent initial surgery because of gynecologic malignancy.
  
  
  METHODS
  Retrospective study (Canadian Task Force classification II-3).
  
  
  METHODS
  University teaching hospital.
  
  
  METHODS
  Six patients with ILNR (1 cervical, 4 ovarian, and 1 peritoneal) diagnosed between March 2003 and July 2010.
  
  
  METHODS
  Laparoscopic lymphadenectomy.
  
  
  RESULTS
  Median (range) patient age was 59.5 (24-70) years, and body mass index was 21.7 (21.0-24.6). There was no unplanned conversion to laparotomy. Operating time was 337.5 (200-400) minutes, hemoglobin change was 0.9 (0.4-2.6) g/dL, and hospital stay was 8.5 (5-19) days. The number of harvested lymph nodes was 20 (5-27), and of positive lymph nodes was 4 (1-24). One patient had common iliac vein laceration, with complete hemostasis achieved using intracorporeal suture. Postoperative lymphedema occurred in 1 patient, and was managed conservatively. All patients received adjuvant chemotherapy after laparoscopic lymphadenectomy.
  
  
  CONCLUSIONS
  Laparoscopic lymphadenectomy in patients with ILNR is feasible and might be an alternative therapeutic strategy.
authors.affiliation: Division of Gynecologic Oncology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Jin Hwa
authors.initials: JH
authors.lastname: Hong
authors.forename: Joong Sub
authors.initials: JS
authors.lastname: Choi
authors.forename: Jung Hun
authors.initials: JH
authors.lastname: Lee
authors.forename: Jong Woon
authors.initials: JW
authors.lastname: Bae
authors.forename: Jeong Min
authors.initials: JM
authors.lastname: Eom
authors.forename: Jung Tae
authors.initials: JT
authors.lastname: Kim
authors.forename: Sukjoong
authors.initials: S
authors.lastname: Oh
mesh_terms: D000328:Adult; D000368:Aged; D003536:Cystadenocarcinoma / Q000473:pathology / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D007902:Length of Stay / Q000706:statistics & numerical data; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D010052:Ovariectomy; D010534:Peritoneal Neoplasms / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D058994:Salpingectomy; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*