Gershenson, "Intraabdominal lymphatic mapping to direct selective pelvic and paraaortic lymphadenectomy
in women with high-risk endometrial cancer: results of a pilot study," Gynecologic Oncology, vol.
"The main message is not that paraaortic lymphadenectomy
should be done in every single patient with endometrial cancer," he said in an interview.
Leblanc et al., "Robotically assisted laparoscopy for paraaortic lymphadenectomy
: technical description and results of an initial experience," Surgical Endoscopy, vol.
Yadav reported her institution's experience with a series of 100 patients who underwent transperitoneal laparoscopic pelvic and/or paraaortic lymphadenectomy between January 1999 and April 2004 using ultrasonic shears from different manufacturers (Ethicon Endo-Surgery, Johnson & Johnson, Olympus) as the primary instrument for dissection and hemostasis.
Paraaortic lymphadenectomy was done in 30 patients, pelvic lymphadenectomy in 49, and both in 21.
Bilateral systemic pelvic lymphadenectomy was planned for all patients; paraaortic lymphadenectomy was performed in patients with intermediate and high risk.
Pelvic and paraaortic lymphadenectomy were performed in 27/30 and 18/30 of patients, respectively.
Another limitation of our study may be that paraaortic lymphadenectomy was not performed in all cases due to technical considerations or due to other pathologic findings indicating low risk.
Umbilical metastasis after laparoscopic retroperitoneal paraaortic lymphadenectomy
for cervical cancer: a true port-site metastasis?
Materials and Methods: A single centre retrospective analysis was conducted in a total of 128 consecutive patients with EC who underwent systematic pelvic or combined pelvic and paraaortic lymphadenectomy between 2009 and 2012.
Results: In univariate analysis, grade 2-3, tumor size [greater than or equal to]3 cm, deep ([greater than or equal to]50%) myometrial invasion, presence of cervical, adnexal or omental involvement, positive peritoneal cytology, open surgical approach (laparotomy), combined pelvic and paraaortic lymphadenectomy and number of total LNs removed (>30) were found associated with LN involvement.
The mean age at surgery was 59.3[+ or -]11.2 years and the majority of patients (86.7%) had open surgery Sixty-six patients (51.6%) had pelvic lymphadenectomy alone, and 62 (48.4%) had combined pelvic and paraaortic lymphadenectomy The median number of pelvic LNs removed, paraaortic LNs removed, and total LNs removed (both pelvic and paraaortic) were 24, 15, and 32, respectively Most patients had endometrioid histology (75%).