A case of single-site-incisional extraperitoneal laparoscopic staging surgery in locally advanced cervical cancer.

Lee, Soo Jeong; Byun, Seoung Won; Choi, Mirang; Hwang, Sun Jung; Park, Sung Tack; Lee, Keun Ho; Park, Jong Sup

doi:2012.55.8.601

Obstet Gynecol Sci > Volume 55(8); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(8):601-605.
DOI: https://doi.org/10.5468/KJOG.2012.55.8.601 Published online August 17, 2012.

A case of single-site-incisional extraperitoneal laparoscopic staging surgery in locally advanced cervical cancer.

Soo Jeong Lee, Seoung Won Byun, Mirang Choi, Sun Jung Hwang, Sung Tack Park, Keun Ho Lee, Jong Sup Park

¹Department of Obstetrics and Gynecology, Seoul St. Mary's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea. hohoho@catholic.ac.kr
²Department of Obstetrics and Gynecology, Hallym University College of Medicine, Seoul, Korea.

Abstract

Para-aortic and common iliac node metastases are high risk factors of recurrence after chemoradiation in advanced cervical cancer. We aim to present the first Korean case of extraperitoneal laparoscopic lymphadenectomy by single site incision in the surgical staging of patients with bulky stage IIB2 cervical cancer. A 51-year-old woman with stage IIB2 cervical cancer were surgically staged by retroperitoneal approach. The operating time was 115 minutes and there were no intraoperative complications. Thirty five nodes were collected and none of which were negative for metastasis. Single site incision extraperitoneal laparoscopic common iliac and para-aortic lymphadenectomy is a safe and feasible procedure to identify the risk of systemic metastasis and to assess the need for extended-field radiation and/or chemotherapy in patients with advanced cervical cancer. The advantages of this surgery are comparable harvested nodes and operating time as well as cosmetic effect.

Key Words: Uterine cervical neoplasm, Neoplasm staging, Retroperitoneal space