Objectives Cervical carcinoma is likely to become one of the most important indications for laparoscopic radical *** laparoscopic technique combines the benefits of minimal invasive approach with established surgical ...
Objectives Cervical carcinoma is likely to become one of the most important indications for laparoscopic radical *** laparoscopic technique combines the benefits of minimal invasive approach with established surgical *** our institution the laparoscopic radical hysterectomy and trans-peritoneal ap proach lymphadenectomy have become the standard techniques for invasive cervical *** report the indi cations, techniques, results and oncological outcome in a single center *** Between February 2001 and June 2007 we performed laparoscopic radical hysterectomies for cervical cancer in 295 *** initial techniques, operation data, complications, post-operative course, oncological outcome and survival were *** 290 procedures out of 295 were ***-aortic lymphadenectomy was performed in 156 (52.9%) patients and pelvic lymphadenectomy was performed in all 295 *** median blood loss was 230 ml (range 50-1200 ml).The mean operation time was 162 min (range 110-350) which included the learning curves of three *** five cases (1.7%) conversion to open surgery was necessary due to bleeding (3 cases), bowel injury (1 case) and hypercapnia (1 case).Other major intra-operative injuries occurred in 12 (4.1%) of the *** lymph nodes were detected in 80 cases (27.1%), lymphovas cular space invasion in 54 cases (18.3%) and surgical margins were negative for tumor in all *** mean hospital stay was 10.3 ***-operative complications occurred in 10.8% patients, uretero-vaginal fistula in 5 cases, vesico-vaginal fistula in 4, uretero-stenosis in 3 cases, deep venous thrombosis in 9 cases, lymphocyst in 4 cases, lymphedema in 5 cases 1 case with trocar insertion site *** medical prob lems included 47 (15.9%) cases of bladder dysfunction and 62 (21.0%) cases of rectum dysfunction or consti *** median follow-up was 36.45 months (range 8-76 months).48 (16.3%) patients
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