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Paraaortic Laparoscopic Node Dissections

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Minimally Invasive Gynecology

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Abstract

Paraaortic lymph node dissection (PA lnd) is an important staging technique, with significant implications. Beyond the poor prognostic impact of involved paraaortic nodes, this knowledge alters further primary tumor management. Although not considered in FIGO staging system of cervix carcinoma, demonstration of paraaortic node involvement usually triggers the extension of pelvic chemoradiation fields up to the renal pedicle. In endometrial carcinoma, positive nodes upstage the disease to stage IIIC2, and extended-field radiation therapy and chemotherapy are considered. In ovarian carcinomas, this situation corresponds to a FIGO IIIC disease and implies chemotherapy.

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Author information

Authors and Affiliations

  1. Department of Gynecologic Oncology, Centre Oscar Lambret, Lille, France

    Eric Leblanc M.D., Fabrice Narducci M.D., Delphine Hudry M.D. & Lucie Bresson M.D.

  2. University of Strasbourg - France, Head of Gynecology department Latifa Hospital, Dubai, UAE

    Arnaud Wattiez M.D., PhD

  3. Department of Gynecologic Oncology, Hospital Israelita Albert Einstein Curitiba, São Paulo, Brazil

    Audrey Tsunoda M.D.

  4. Department of Surgery, Institut Bergonié, Bordeaux, France

    Denis Querleu M.D.

Authors
  1. Eric Leblanc M.D.
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  2. Fabrice Narducci M.D.
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  3. Delphine Hudry M.D.
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  4. Lucie Bresson M.D.
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  5. Arnaud Wattiez M.D., PhD
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  6. Audrey Tsunoda M.D.
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  7. Denis Querleu M.D.
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Corresponding author

Correspondence to Eric Leblanc M.D. .

Editor information

Editors and Affiliations

  1. CliniOnco, Porto Alegre, Rio Grande do Sul, Brazil

    Geraldo Gastal Gomes-da-Silveira

  2. UFCSPA, Porto Alegre, Rio Grande do Sul, Brazil

    Gustavo Py Gomes da Silveira

  3. Universidade Federal do Rio Grande do Sul (UFRGS) and Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil

    Suzana Arenhart Pessini

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Leblanc, E. et al. (2018). Paraaortic Laparoscopic Node Dissections. In: Gomes-da-Silveira, G.G., da Silveira, G.P.G., Pessini, S.A. (eds) Minimally Invasive Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-72592-5_25

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  • DOI: https://doi.org/10.1007/978-3-319-72592-5_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72591-8

  • Online ISBN: 978-3-319-72592-5

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