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Laterally extended parametrectomy (LEP), the technique for radical pelvic side wall dissection: Feasibility, technique and results
  1. LÁSZLÓ PÁLFALVI and
  2. László Ungár
  1. Department of Obstetrics, Gynecology and Gynecologic Oncology, St. Stephen Hospital, Budapest, Hungary
  1. Address correspondence and reprint requests to: László Ungár, Department of Obstetrics, Gynecology and Gynecologic Oncology, St. Stephen Hospital, Budapest, Hungary, Nagyvárad Tér 1., Budapest, 1096 Hungary. E-mail: Ungarl{at}Westel900.net, or palfal{at}axelero.hu.

Abstract

A new surgical method was introduced for the treatment of Ib lymph node positive and IIb cervical cancer patients. The lateral resection plane corresponds to the true pelvic side wall, the plane represented by the internal obturator muscle, the linea arcuata, and the piriformis muscle with the convergent branches of the sacral plexus. The LEP procedure overcomes the limitations of the standard class III-IV radical hysterectomy, which leaves in situ the gluteal superior, inferior and pudendal nodes, thus improving local control and survival.

  • cervical cancer
  • extended parametrectomy

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