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KMID : 0358419950380122365
Korean Journal of Obstetrics and Gynecology
1995 Volume.38 No. 12 p.2365 ~ p.2370
Laparoscopic Assisted Radical Vaginal Hysterectomy and Pelvic Lymphadenectomy in Cervical Carcinoma


Abstract
I had performed laparoscopic assisted radical vaginal hysterectomy with pelvic lymphadenectomy in 4 cases of the cervical carcinoma(stage Ia2-IIa) during the period from Oct. 1994 to Jan. 1995. The scope of laparoscopic therapy could be extended
to
the
cervical carcinoma without increased risk of morbidity.
@ES The following results were obtained:
@EN 1. There were 2 (1a2) cases of laparoscopic assisted type 2 radical hysterectomy and 2(Ib, IIa) cases of type 3 radical hysterectomy with pelvic lymphadenectomy.
2. Average operation time of laparoscopic phase and vaginal phase was 247.00¡¾37.04min(range 185~315min) and 54.00¡¾18.28 min(range 34~105min).
3. Average number of pelvic nodes obtained at laparoscopy were 18.25¡¾4.47(range 8~26) and there were no metastatic lymph node.
4. Average blood loss at laparoscopic phase and vaginal phase was 237.50¡¾88.58min(range 50~450ml) and 205.75¡¾115.67ml(range 70~523ml).
5. Average stay in the hospital was 8.50¡¾0.93 days(range 6~10 days).
6. There were 2 minor complication e.g., bladder laceration(1), bladder dysfunction(1).
7. There was no significant difference with other report(Querleu) about operation time and number of removed lymph node and hospital day(Wilcoxon 2-sample test).
KEYWORD
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