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KMID : 0358420120550080601
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Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 8 p.601 ~ p.605
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A case of single-site-incisional extraperitoneal laparoscopic staging surgery in locally advanced cervical cancer
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Lee Soo-Jeong
Byun Seung-Won
Choi Mi-Rang
Hwang Sun-Jung
Park Sung-Taek
Lee Keun-Ho
Park Jong-Sup
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Abstract
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Para-aortic and common iliac node metastases are high risk factors of recurrence after chemoradiation in advanced cervical cancer. We aim to present the first Korean case of extraperitoneal laparoscopic lymphadenectomy by single site incision in the surgical staging of patients with bulky stage IIB2 cervical cancer. A 51-year-old woman with stage IIB2 cervical cancer were surgically staged by retroperitoneal approach. The operating time was 115 minutes and there were no intraoperative complications. Thirty five nodes were collected and none of which were negative for metastasis. Single site incision extraperitoneal laparoscopic common iliac and para-aortic lymphadenectomy is a safe and feasible procedure to identify the risk of systemic metastasis and to assess the need for extended-field radiation and/or chemotherapy in patients with advanced cervical cancer. The advantages of this surgery are comparable harvested nodes and operating time as well as cosmetic effect.
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KEYWORD
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Uterine cervical neoplasm, Neoplasm staging, Retroperitoneal space
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