Laparoscopic-assisted vaginal hysterectomy with laparoscopic pelvic and paraaortic staging for early endometrial cancer |
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Authors: | Uwe Ulrich Kerstin Rhiem Elisabeth Janschek Andreas D Ebert |
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Institution: | (1) Present address: Department of Obstetrics and Gynecology, The Florence Nightingale Hospital, Kreuzbergstrasse 79, 40489 Duesseldorf, Germany;(2) Department of Obstetrics and Gynecology, University of Cologne School of Medicine, Cologne, Germany;(3) Department of Obstetrics and Gynecology, Humboldt Hospital, Vivantes Clinic, Berlin, Germany |
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Abstract: | While abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic and paraaortic lymphadenectomy is still considered
the gold standard for the surgical treatment of endometrial cancer, the laparoscopic-assisted vaginal hysterectomy (LAVH)
plus laparoscopic lymphadenectomy has been performed in FIGO stage I endometrial cancer in selected centers for about a decade.
Clinical studies have shown that the frequency of intra- and postoperative complications, the pelvic and paraaortic lymph
node yield, and—more importantly—the overall survival, are similar both with the laparoscopic-assisted vaginal approach and
the abdominal approach in stage I disease. Blood loss and duration of hospital stay may even be reduced with the LAVH. In
summary, provided there is compliance with established oncologic guidelines, LAVH with pelvic and paraaortic lymphadenectomy
can probably be performed in patients with endometrial cancer FIGO stage I without safety loss. |
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Keywords: | Endometrial cancer Laparoscopic-assisted vaginal hysterectomy Laparoscopy Laparoscopic pelvic and paraaortic lymphadenectomy |
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