Abstract
Purpose
Radical parametrectomy is indicated in selected oncologic conditions. We evaluated the efficacy and morbidity of laparoscopic radical parametrectomy following simple hysterectomy in patients with invasive cervical carcinoma and vault carcinoma.
Methods
Between January 2011 and December 2014, five patients underwent laparoscopic radical parametrectomy at our centre. The indications for radical parametrectomy were histologically verified recurrence of endometrial cancer in the vaginal stump, and simple hysterectomy for cervical cancer. Clinicopathologic information including demographics, indication for hysterectomy, tumor stage, histology, nodal status, operative complications, length of stay, recurrence and survival was noted.
Results
In all patients, R0 resection could be achieved. The mean duration of surgery was 168 min. No intra- or postoperative transfusions were given. There was bladder injury in one patient intraoperatively in which bladder was inadvertently opened up due to undue pressure of grasper while dissecting it from anterior vaginal wall. Mean postoperative length of stay was 2.4 days. The urinary catheter was removed after a mean duration of 14 days. Surgical margins in all five patients were free of tumor. One patient developed recurrence after 15 months.
Conclusions
LRP is an acceptable option for patients diagnosed with incidental finding of invasive cervical cancer at the time of simple hysterectomy. Careful selection of LRP for patients not having residual tumor will obviate adjuvant radiotherapy in most cases.
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Limbachiya, D., Chawla, H. & Mankad, M.H. Laparoscopic Radical Parametrectomy: An Alternative for Cervical or Endometrial Carcinoma After Hysterectomy. Indian J Gynecol Oncolog 13, 25 (2015). https://doi.org/10.1007/s40944-015-0032-2
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DOI: https://doi.org/10.1007/s40944-015-0032-2