Abstract
Despite published recommendations for gynecologic oncology consultation in patients with endometrial cancer or suspicious adnexal masses, patients still undergo surgical evaluation for these conditions in settings where surgical staging is either not immediately available or not performed.1 In addition, although recent Pap smear evaluation is a standard prerequisite for hysterectomy, this operation is occasionally performed either in the absence of recent cervical cytologic evaluation or in the context of false-negative cervical cytologic evaluation or known cervical dysplasia, leading to the discovery of occult cervical cancer on pathologic evaluation of the uterus.
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References
Guidelines for Referral to a Gynecologic Oncologist: rationale and benefits. Gynecol Oncol. 2000;78:S1–S13.
Querleu D, LaBlanc E, Castelain B. Laparoscopic pelvic lymphadenectomy in staging of early carcinoma of the cervix. Am J Obstet Gynecol. 1991;164:579.
Childers JM, Surwit EA. Combined laparoscopic vaginal surgery for the management of two cases of stage I endometrial carcinoma. Gynecol Oncol. 1992;45:46–51.
Mikuta JJ. International Federation of Gynecology and Obstetrics staging of endometrial cancer 1988. Cancer 1993;71(4 Suppl):1460–3.
Boronow RC, Morrow CP, Creasman WT, Disaia PJ, Silverberg SG, Miller A, Blessing JA. Surgical staging in endometrial cancer: Clinical-pathologic findings of a prospective study. Obstet Gynecol. 1984;63(6):825–32.
Creasman WT, Morrow CP, Bundy BN, Homesley HD, Graham JE, Heller PB. Surgical pathological spread pattern of endometrial carcinoma: A gynecologic oncology group study. Cancer 1987;60:2035–41.
Moore DH, Fowler WC, Walton LA, Droegemuller W. Morbidity of lymph node sampling in cancers of the uterine corpus and cervix. Obstet Gynecol. 1989;74:180.
Orr JW, Holloway RW, Orr PF, Holimon JL. Surgical staging of uterine cancer: an analysis of perioperative morbidity. Gynecol Oncol. 1991;42:209.
Cohn DE, Huh WK, Fowler JM, Straughn JM. Cost-effectiveness analysis of strategies for the surgical management of grade 1 endometrial adenocarcinoma. Obstet Gynecol. 2007;109(6):1388–95.
Orr J, Chamberlain D, Kilgore L, Naumann W, Walker J, Berek J. Management of endometrial cancer. ACOG Practice Bulletin 2005; Number 65.
Naumann RW, Coleman RL. The use of adjuvant radiation therapy in early endometrial cancer by members of the Society of Gynecologic Oncologists in 2005. Gynecol Oncol. 2007;105(1):7–12.
Havrilesky LJ, Cragun JM, Calingaert B, Synan I, Secord AA, Soper JT, Clarke-Pearson DL, Berchuck A. Resection of lymph node metastases influences survival in stage IIIC endometrial cancer. Gynecol Oncol. 2005;99(3):689–95.
Chan JK, Cheung MK, Huh WK, Osann K, Husain A, Teng NN, Kapp DS. Therapeutic role of lymph node resection in endometrioid corpus cancer: a study of 12,333 patients. Cancer. 2006;107(8):1823–30.
Randall ME, Filiaci VL, Muss H, Spirtos NM, Mannel RS, Fowler J, Thigpen JT, Benda JA. Gynecologic Oncology Group Study. Randomized phase III trial of whole-abdominal irradiation versus doxorubicin and cisplatin chemotherapy in advanced endometrial carcinoma: a Gynecologic Oncology Group Study. J Clin Oncol. 2006;24(1):36–44.
Childers JM, Brzechffa PR, Hatch KD, Surwit EA. Laparoscopic assisted surgical staging (LASS) of endometrial carcinoma. Gynecol Oncol. 1993;51:33–8.
Childers JM, Hatch KD, Tran A-N, Surwit EA. Laparoscopic para-aortic lymphadnectomy in gynecologic malignancies. Obstet Gynecol. 1993;82:741–7.
Querleu D. Laparoscopic paraaortic node sampling in gynecologic oncology: A preliminary experience. Gynecol Oncol. 1993;49:24–9.
Childers JM, Spirtos NM, Braiverd P, Surwit EA. Laparoscopic staging of the patient with incompletely-staged early adenocarcinoma of the endometrium. Obstet Gynecol. 1994;83:597.
Spirtos NM, Schlaerth JB, Spirtos TW, Schlaerth AC, Indman PD, Kimball RE. Laparoscopic bilateral pelvic and paraaortic lymph node sampling: an evolving technique. Am J Obstet Gynecol. 1995;173:105–111.
Possover M, Krause N, Plaul K, Kühne-Heid R, Schneider A. Laparoscopic para-aortic and pelvic lymphadenectomy: experience with 150 patients and review of the literature. Gynecol Oncol. 1998;71(1):19–28.
Creasman WT. The role of the generalist obstetrician-gynecologist in the early detection of ovarian cancer. ACOG Comm Opin. 2002;280:2.
Berman M, Randall-Whitis L. Management of adnexal masses. ACOG Pract Bull. 2007;83:7.
Young RC, Decker DG, Wharton JT, Piver MS, Sindelar WF, Edwards BK, Smith JP. Staging laparotomy in early ovarian cancer. JAMA. 1983; 250(22):3072–6.
Chen SS, Lee L. Incidence of para-aortic and pelvic lymph node metastases in epithelial carcinoma of the ovary. Gynecol Oncol. 1983;16(1):95–100.
Helewa ME, Krepart GV, Lotocki R. Staging laparotomy in early epithelial ovarian carcinoma. Am J Obstet Gynecol. 1986;154(2):282–6.
Soper JT, Johnson P, Johnson V, Berchuck A, Clarke-Pearson DL. Comprehensive restaging laparotomy in women with apparent early ovarian carcinoma. Obstet Gynecol. 1992;80(6):949–53.
EA Stier, RR Barakat, JP Curtin, CL Brown, WB Jones, WJ Hoskins. Laparotomy to complete staging of presumed early ovarian cancer. Obstet Gynecol. 1996;87:737–40.
Morice P, Joulie F, Camatte S, Atallah D, Rouzier R, Pautier P, Pomel C, Lhommé C, Duvillard P, Castaigne D. Lymph node involvement in epithelial ovarian cancer: Analysis of 276 pelvic and paraaortic lymphadenectomies and surgical implications. J Am Coll Surg. 2003;197(2):198–205.
Cass I, Li AJ, Runowicz CD, Fields AL, Goldberg GL, Leuchter RS, Lagasse LD, Karlan BY. Pattern of lymph node metastases in clinically unilateral stage I invasive epithelial ovarian carcinomas. Gynecol Oncol. 2001;80(1):56–61.
Reich H, McGlynn F, Wilkie W. Laparoscopic management of stage I ovarian cancer. A case report. J Reprod Med. 1990;35(6):601–4.
Querleu D, Leblanc E. Laparoscopic infrarenal paraaortic lymph node dissection for restaging of carcinoma of the ovary or fallopian tube. Cancer. 1994;73:1467–71.
Childers JM, Lang J, Surwit EA, Hatch KD. Laparoscopic surgical staging of ovarian cancer. Gynecol Oncol. 1995;59:25–33.
Pomel C, Provencher D, Dauplat J, Gauthier P, Le Bouedec G, Drouin P, Audet Lapointe P, Dubuc Lissoir J. Laparoscopic staging of early ovarian cancer. Gynecol Oncol. 1995;58:301–306.
Spirtos NM, Eisekop SM, Boike G, Schlaerth JB, Cappellari JO. Laparoscopic staging in patients with incompletely staged cancers of the uterus, ovary, fallopian tube, and primary peritoneum: a Gynecologic Oncology Group (GOG) study. Am J Obstet Gynecol. 2005;193(5):1645–9.
Lehner R, Wenzl R, Heinzl H, Husslein P, Sevelda P. Influence of delayed staging laparotomy after laparoscopic removal of ovarian masses later found malignant. Obstet Gynecol. 1998;92:967–71.
Maiman M, Seltzer V, Boyce J. Laparoscopic Excision of Ovarian Neoplasms Subsequently Found to Be Malignant. Obstet Gynecol. 1991;77:563–5.
Chi DS, Abu-Rustum NR, Sonoda Y, Ivy J, Rhee E, Moore K, Levine DA, Barakat RR. The safety and efficacy of laparoscopic surgical staging of apparent stage I ovarian and fallopian tube cancers. Am J Obstet Gynecol. 2005;192(5):1614–9.
Leblanc E, Querleu D, Narducci F, Occelli B, Papageorgiou T, Sonoda Y. Laparoscopic restaging of early stage invasive adnexal tumors: a 10-year experience. Gynecol Oncol. 2004;94(3):624–9.
Querleu D, Papageorgiou T, Lambaudie E, Sonoda Y, Narducci F, LeBlanc E. Laparoscopic restaging of borderline ovarian tumours: results of 30 cases initially presumed as stage IA borderline ovarian tumours. BJOG. 2003;110(2):2.
Daraï E, Tulpin L, Prugnolle H, Cortez A, Dubernard G. Laparoscopic restaging of borderline ovarian tumors. Surg Endosc. 2007;21(11):2039–43.
Husain A, Chi DS, Prasad M, Abu-Rustum N, Barakat RR, Brown CL, Poynor EA, Hoskins WJ, Curtin JP. The role of laparoscopy in second-look evaluations for ovarian cancer. Gynecol Oncol. 2001 Jan;80(1):44–7.
Clough KB, Ladonne JM, Nos C, Renolleau C, Validire P, Durand JC.Second look for ovarian cancer: Laparoscopy or Laparotomy? A prospective comparative study. Gynecol Oncol. 1999;72(3):411–7.
Littell RD, Hallonquist H, Matulonis U, Seiden MV, Berkowitz RS, Duska LR. Negative laparoscopy is highly predictive of negative second-look laparotomy following chemotherapy for ovarian, tubal, and primary peritoneal carcinoma. Gynecol Oncol. 2006 Nov;103(2):570–4. Epub 2006 Jun 12.
Lacey CG, Morrow CP, Disaia PJ, Lucas WE. Laparoscopy in the evaluation of gynecologic cancer. Obstet Gynecol. 1978 Dec;52(6):708–12.
Childers JM, Hatch KD, Surwit EA. The role of laparoscopic lymphadenectomy in the management of cervical carcinoma. Gynecol Oncol. 1992;47:38–43.
Fowler JM, Carter JR, Carlson JW, et al. Lymph node yield from laparoscopic lymphadenectomy in cervical cancer: a comparative study. Gynecol Oncol. 1993;51:187.
Chu KK, Chang SD, Chen FP, Soong YK. Laparoscopic surgical staging in cervical cancer—preliminary experience among Chinese. Gynecol Oncol. 1997;64:49–53.
Querleu D, Dargent D, Ansquer Y, Leblanc E, Narducci F. Extraperitoneal endosurgical aortic and common iliac dissection in the staging of bulky or advanced cervical carcinomas. Cancer. 2000 Apr 15;88(8):1883–91.
Magrina JF, Walter AJ, Schild SE. Laparoscopic radical parametrectomy and pelvic and aortic lymphadenectomy for vaginal carcinoma: A case report. Gynecol Oncol. 1999 Dec;75(3):514–6.
Lee YS, Lee TH, Koo TB, Cho YL, Park IS. Laparoscopic-assisted radical parametrectomy including pelvic and/or paraaortic lymphadenectomy in women after prior hysterectomy-three cases. Gynecol Oncol. 2003 Dec;91(3):619–22.
Fleisch MC, Hatch KD. Laparoscopic assisted parametrectomy/upper vaginectomy (LPUV)-technique, applications and results. Gynecol Oncol. 2005 Sep;98(3):420–6.
Liang Z, Xu H, Chen Y, Li Y, Chang Q, Shi C. Laparoscopic radical trachelectomy or parametrectomy and pelvic and para-aortic lymphadenectomy for cervical or vaginal stump carcinoma: report of six cases. Int J Gynecol Cancer. 2006 Jul–Aug;16(4):1713–6.
Nezhat F, Prasad Hayes M, Peiretti M, Rahaman J. Laparoscopic radical parametrectomy and partial vaginectomy for recurrent endometrial cancer. Gynecol Oncol. 2007 Feb;104(2):494–6. Epub 2006 Dec 8.
Sedlis A, Bundy BN, Rotman MZ, Lentz SS, Muderspach LI, Zaino RJ. A randomized trial of pelvic radiation therapy versus no further therapy in selected patients with stage IB carcinoma of the cervix after radical hysterectomy and pelvic lymphadenectomy: A Gynecologic Oncology Group Study. Gynecol Oncol. 1999 May;73(2):177–83.
Herd J, Fowler JM, Shenson D, Lacy S, Montz FJ. Laparoscopic para-aortic lymph node sampling: development of a technique. Gynecol Oncol. 1992;44:271.
Dottino PR, Tobias DH, Beddoe A, Golden AL, Cohen CJ. Laparoscopic lymphadenectomy for gynecologic malignancies. Gynecol Oncol. 1999 Jun;73(3):383–8.
Scribner DR Jr, Walker JL, Johnson GA, McMeekin SD, Gold MA, Mannel RS. Laparoscopic pelvic and paraaortic lymph node dissection: analysis of the first 100 cases. Gynecol Oncol. 2001 Sep;82(3):498–503
Vasilev SA, McGonigle KF. Extraperitoneal laparoscopic paraaortic lymph node dissection: development of a technique. J Laparoendosc Surg. 1995 Apr;5(2):85–90.
Fowler JM, Hartenbach EM, Reynolds HT, Borner J, Carter JR, Carlson JW, Twiggs LB, Carson LF. Pelvic adhesion formation after pelvic lymphadenectomy: comparison between transperitoneal laparoscopy and extraperitoneal laparotomy in a porcine model. Gynecol Oncol. 1994 Oct;55(1):25–8.
Vasilev SA, McGonigle KF. Extraperitoneal laparoscopic para-aortic lymph node dissection. Gynecol Oncol. 1996 Jun;61(3):315–20.
Falcone T, Goldberg J, Garcia-Ruiz A, Margossian H, Stevens L. Full robotic assistance for laparoscopic tubal anastamosis: a case report. J Laparoendosc Surg. 1999;9(1):107–113.
Diaz-Arrastia C, Jurnalov C, Gomez G, et al. Laparoscopic hysterectomy using a computer-enhanced surgical robot. Surg Endosc. 2002;16:1271–3.
Elliott DS, Frank I, DiMarco DS, et al. Gynecologic use of robotically assisted laparoscopy: sacrocolpopexy for the treatment of high-grade vaginal vault prolapsed. Am J Surg 2004;188(Suppl to October 2004):52S–56S.
Advincula AP, Song A, Burke W, et al. Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 2004 Nov;11(4):511–8.
Beste TM, Nelson KH, Daucher JA. Total laparoscopic hysterectomy utilizing a robotic surgical system. JSLS. 2005;9:13–5.
Reynolds RK, Burke WM, Advincula AP. Preliminary experience with robot-assisted laparoscopic staging of gynecologic malignancies. JSLS 2005;9:149–58.
Sert BM, Abeler VM. Robotic-assisted laparoscopic radical hysterectomy (Piver type III) with pelvic node dissection–case report. Eur J Gynaecol Oncol. 2006;27(5):531–3.
Sert B, Abeler V. Robotic radical hysterectomy in early-stage cervical carcinoma patients, comparing results with total laparoscopic radical hysterectomy cases. The future is now? Int J Med Robot. 2007;3:224–228
Boggess J, Gehrig P, Rutledge T, et al. Robotic type III radical hysterectomy with pelvic lymph-node dissection: description of a novel technique for treating stage Ib1 cervical cancer. SGO 37th Annual Meeting 2006; Abstract #38.
Veljovich D, Paley P, Drescher C, Everett E, Shah C, Peters W. Robotic surgery in gynecologic oncology: program initiation and outcomes after the first year with comparison with laparotomy for endometrial cancer staging. Am J Obstet Gynecol 2008;198:679.e1–679.e10.
Walker J, Piedmonte M, Spirtos N, et al. Phase III trial of laparoscopy (scope) vs laparotomy (open) for surgical resection and comprehensive surgical staging of uterine cancer: A Gynecologic Oncology Group (GOG) Study funded by NCI. SGO 37th Annual Meeting 2006; Abstract #22.
Kornblith A, Walker J, Huang H, et al. Quality of life (QOL) of patients in a randomized clinical trial of laparoscopy (scope) vs. open laparotomy (open) for the surgical resection and staging of uterine cancer: A Gynecologic Oncology Group (GOG) study. SGO 37th Annual Meeting 2006; Abstract #47.
Boggess JF, Gehrig PA, Cantrell L, et al. A comparative study of 3 surgical methods for hysterectomy with staging for endometrial cancer: robotic assistance, laparoscopy, laparotomy. Am J Obstet Gynecol. 2008 Oct;199(4):360.e1–9.
Abbou CC, Hoznek A, Salomon L. Laparoscopic radical prostatectomy with a remote controlled robot. J Urol. 2001;165:1964–6.
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Veljovich, D.S. (2009). Laparoscopic Reoperative Surgery for Incompletely Staged Gynecologic Malignancies. In: Billingham, R., Kobashi, K., Peters, W. (eds) Reoperative Pelvic Surgery. Springer, New York, NY. https://doi.org/10.1007/b14187_5
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DOI: https://doi.org/10.1007/b14187_5
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