IMR Press / EJGO / Volume 24 / Issue 5 / pii/2003190

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Laparoscopically assisted modified radical vaginal hysterectomy (type II) with pelvic lymphadenectomy: ultrasonic operative technique

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1 Department of Obstetrics and Gynaecology, Endoscopic Training Center, Baby Friendly Hospital, Kladno, Czech Republic
Eur. J. Gynaecol. Oncol. 2003, 24(5), 391–392;
Published: 10 October 2003
Abstract

Objective: The aim of this study was to incorporate an ultrasonic operative Iaparoscopic technique to complete a type II laparo­scopically-assisted modified radical vaginal hysterectomy (LARVH ) and pelvic lymph node dissection (PLND) in early cervical cancer. Methods and Materials: LARVH type II and PLND using a laparoscopic ultrasonic operative technique and conventional vaginal surgery were indicated in five cases of early cervical cancer (IA2). Results: Complete pelvic lymphadenectomy and the laparoscopic phase of modified radical vaginal hysterectomy were succes­sfully performed using ultrasonic instruments in all women. Uterine artery and ureteral dissection with resection of the cervicove­sical fascia, cardinal and uterosacral ligaments were successful with ultrasonically activated instruments only. Conclusion: Our initial experience with laparoscopically assisted radical vaginal hysterectomy type II confirmed that the use of a minimally invasive ultrasonic technique is feasible. Further investigations into the indications of disease where laparoscopic surgery is appropriate in the management of early cervical carcinoma are required.

Keywords
Objective: The aim of this study was to incorporate an ultrasonic operative Iaparoscopic technique to complete a type II laparo-scopically-assisted modified radical vaginal hysterectomy (LARVH ) and pelvic lymph node dissection (PLND) in early cervical cancer. Methods and Materials: LARVH type II and PLND using a laparoscopic ultrasonic operative technique and conventional vaginal surgery were indicated in five cases of early cervical cancer (IA2). Results: Complete pelvic lymphadenectomy and the laparoscopic phase of modified radical vaginal hysterectomy were succes-sfully performed using ultrasonic instruments in all women. Uterine artery and ureteral dissection with resection of the cervicove-sical fascia
cardinal and uterosacral ligaments were successful with ultrasonically activated instruments only Conclusion: Our initial experience with laparoscopically assisted radical vaginal hysterectomy type II confirmed that the use of a minimally invasive ultrasonic technique is feasible. Further investigations into the indications of disease where laparoscopic surgery is appropriate in the management of early cervical carcinoma are required
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