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- W2034180091 abstract "Paraaortic and pelvic lymphadenectomy is necessary for an accurate staging and treatment of endometrial cancer. However laparotomy requires a large incision and can cause ileus. Methods to minimize invasiveness including retroperitoneoscopy and laparoscopy are shown. The diameter of the smallest trocar was 2 mm. Under laparoscopic visualization a distention balloon was inserted in the left abdominal wall to develop the retroperitoneal space. After placing four ports, retroperitoneoscopic lymphadenectomy was performed from the renal vein to the left obturator canal and the right uterine artery. After conversion to laparoscopy, lymphadenectomy of the right lower pelvic cavity was performed suspending bilateral medial umbilical ligaments and sometimes the pelvic peritoneum, followed by laparoscopically assisted vaginal hysterectomy. When the uterus was too large, minilaparotomy was performed. Out of 140 retroperitoneoscopic lymphadenectomies unexpected conversion to laparotomy occurred in one case. We did not encounter major complications." @default.
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- W2034180091 date "2008-11-01" @default.
- W2034180091 modified "2023-09-24" @default.
- W2034180091 title "How to Laparoscopically Minimize Invasiveness in Endometrial Cancer Operation" @default.
- W2034180091 doi "https://doi.org/10.1016/j.jmig.2008.09.114" @default.
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