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http://dx.doi.org/10.1016/j.ygyno.2012.09.017 | DOI Listing |
Oncol Lett
June 2024
Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan.
The extraperitoneal laparoscopic approach (ELPAN) for para-aortic lymphadenectomy provides excellent visibility of the left side of the aorta, thus facilitating surgery in the retroperitoneal space. This technique is highly complex compared with the transperitoneal approach. In particular, advanced techniques are required to develop an appropriate surgical field in the narrow retroperitoneal space; therefore, surgeons need to undergo a significant amount of training to become competent.
View Article and Find Full Text PDFGynecol Minim Invasive Ther
October 2023
Department of Obstetrics and Gynecology, Yokohama Municipal Citizen's Hospital, Japan.
The importance of lymphadenectomy, including para-aortic nodes, for the accurate staging of endometrial cancer, is well established. Although the therapeutic role of lymph node resection in endometrial cancer is still under debate, some studies support its usefulness for survival benefit. To predict the necessity of lymphadenectomy, several preoperative scoring systems have been proposed as being effective.
View Article and Find Full Text PDFJ Gynecol Obstet Hum Reprod
December 2023
Gynecology and Obstetrics Department, Saint-Etienne University Hospital Center, North Hospital, avenue Albert Raimond, 42270 Saint Priest en Jarez, France; Université Jean Monnet Saint-Étienne, Mines Saint Etienne, INSERM, SAINBIOSE U1059, F-42023, Saint-Étienne, France. Electronic address:
Para-aortic staging is sometimes a standard feature in the management of pelvic cancers. Minimal invasive approach is recommended. Several routes are possible: extra-peritoneal or intraperitoneal depending on the expertise of the surgeon.
View Article and Find Full Text PDFFront Surg
January 2023
The First People's Hospital of Yunnan Province Gynecology Department (Affiliated Hospital of Kunming University of Science and Technology), Kunming, China.
Background: Robotic-assisted surgery is one of the novel minimally invasive surgical techniques for the treatment of gynecological malignancies. The aim of this systematic review and meta-analysis was to compare the outcomes of robot-assisted vs. conventional laparoscopy for para-aortic lymphadenectomy (PAL) in patients with gynecological malignancies.
View Article and Find Full Text PDFJ Obstet Gynaecol Res
March 2023
Obstetrics and Gynecology Department, Vall d'Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Barcelona, Spain.
Aim: To evaluate the reliability of sagittal abdominal diameter (SAD)-a surrogate of visceral obesity-in magnetic resonance imaging, and its accuracy to predict the surgical morbidity of aortic lymphadenectomy.
Methods: We conducted a multicenter reliability (phase 1) and accuracy (phase 2) cohort study in three Spanish referral hospitals. We retrospectively analyzed data from the STELLA-2 randomized controlled trial that included high-risk endometrial cancer patients undergoing minimally invasive surgical staging.
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