Carol Davila University of Medicine and Pharmacy, Romania
Posters & Accepted Abstracts: J Cancer Sci Ther
Laparoscopic pelvic lymphadenectomy was performed in 23 patients. Subsequently, laparoscopic surgery allowed precise dissection of external and internal iliac vessels, umbilical artery, and obturator nerve. Three to 18 (mean, 6.7) nodes were removed, and there was no significant morbidity. Sensitivity and specificity were 100% in this preliminary experience. It is thus possible to remove the first-line regional lymph nodes of the cervix for pathologic examination. Because “skip” metastases are quite rare in early cervical carcinoma, the risk of missing a positive node is low. Brachytherapy alone, vaginal surgery, or, in micro invasive carcinoma, conization alone can be applied safely without the need of a staging laparotomy in cases with negative nodes.
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