RT Journal Article
SR Electronic
T1 A Comparison of Radical Vaginal Hysterectomy Combined With Extraperitoneal or Laparoscopic Pelvic Lymphadenectomy in the Treatment of Cervical Cancer
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 1238
OP 1243
DO 10.1111/IGC.0b013e3181f93516
VO 22
IS 7
A1 Diego Maestri
A1 Rosilene Jara Reis
A1 Omar Moreira Bacha
A1 Betânia Müller
A1 Oly Campos Corleta
YR 2012
UL http://ijgc.bmj.com/content/22/7/1238.abstract
AB Background The use of radical vaginal hysterectomy in the treatment of cervical cancer is associated with lower morbidity and a similar cure rate when compared with the abdominal approach. The present study reports a case series of radical vaginal hysterectomy followed by extraperitoneal (Mitra) or video-laparoscopic (VLP) lymphadenectomy, with comparison of the 2 techniques.Methods Twenty-five patients with cervical carcinoma (stages IA1 to IIA) were submitted to radical vaginal hysterectomy and extraperitoneal or laparoscopic lymphadenectomy.Results The Mitra technique was used in 17 cases, and VLP was used in 8. Seventeen patients presented minor postoperative complications. The number of resected lymph nodes was similar with both techniques (median of 14 with VLP vs 21 with Mitra) (P = 0.215). The duration of surgery in the VLP group (mean, 339 minutes) was shorter than that of the Mitra group (mean, 421 minutes) (P = 0.015).Conclusions The results obtained with both techniques are similar to those reported in the literature. The duration of extraperitoneal lymphadenectomy was longer than that of VLP lymphadenectomy. There were no differences between the 2 techniques concerning the number of resected lymph nodes and hospital stay.