April 4th, 2020

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Laparoscopic Radical Hysterectomy with Low Paraaortic, Subaortic and Pelvic Lymphadenectomy: Results of Short-Term Follow-up
Authors:  Yao-Yuan Hsieh, M.D., Wu-Chou Lin, M.D., Chi-Chen Chang, M.D., Lian-Shun Yeh, M.D., Tai-Yen Hsu, M.D., and Horng-Der Tsai, M.D.
  OBJECTIVE: To describe a detailed operative procedure for type III laparoscopic radical hysterectomy with bilateral low paraaortic, subaortic and pelvic lymphadenectomy.

STUDY DESIGN: Between January 1992 and December 1995, eight patients with cervical carcinoma IA2 or IB1 underwent laparoscopic radical hysterectomy at China Medical College Hospital, Taichung, Taiwan, R.O.C. The procedure of laparoscopic radical hysterectomy was separated into eight segmental steps.

RESULTS: No major complications, including ureteral injury and lymphocyst formation, were noted in any case. Mean hospitalization was 6.5 days. The follow-up period ranged from 16 to 62 months. Only one case recurred, in the lung.

CONCLUSION: Laparoscopic radical hysterectomy is a safe procedure. A complete pelvic and paraaortic lymphadenectomy and type III radical hysterectomy can be performed laparoscopically. This approach allows shorter hospitalization and carries less morbidity than the open type. Short-term follow-up (1.3-5.1 years) indicated a favorable prognosis. (J Reprod Med 1998;43:528-534)
Keywords:  cervix neoplasms; hysterectomy; laparoscopic surgery
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