Laparoscopic Para-aortic Lymphadenectomy for Surgical Staging of Uterine Cancer

  • KOJIMA,Yasuo
    Department of Obstetrics and Gynecology, Toyama Prefectural Central Hospital, Toyama
  • FUNAMOTO,Hiroshi
    Department of Obstetrics and Gynecology, Toyama Prefectural Central Hospital, Toyama
  • HASHIMOTO,Manabu
    Department of Obstetrics and Gynecology, Toyama Prefectural Central Hospital, Toyama
  • MAIDA,Yoshiko
    Department of Obstetrics and Gynecology, Toyama Prefectural Central Hospital, Toyama
  • ARAI,Noboru
    Department of Obstetrics and Gynecology, Toyama Prefectural Central Hospital, Toyama
  • AMETANI,Yuka
    Department of Obstetrics and Gynecology, Toyama Prefectural Central Hospital, Toyama
  • SATAKE,Shinichirou
    Department of Obstetrics and Gynecology, Toyama Prefectural Central Hospital, Toyama
  • NAKANO,Takashi
    Department of Obstetrics and Gynecology, Toyama Prefectural Central Hospital, Toyama
  • TATENO,Masaya
    Department of Obstetrics and Gynecology, Toyama Red Cross Hospital, Toyama

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Other Title
  • 子宮癌の傍大動脈リンパ節転移 : 腹腔鏡下リンパ節郭清術の有用性とその意義

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Description

Laparoscopic para-aortic lymphadenectomy was performed on 7 patients with invasive cervical cancer and 3 patients with endometrial cancer to determine the safety and advantages of the procedure. Para-aortic right-side lymphadehectomy reached the level of the entrance of the right ovarian vein. Left-side lymphadenectomy went up to the level of the inferior mesenteric artery in the cases of cervical cancer and to the level of the left renal vein in the cases of endometrial cancer. In the former an average of 8.5 nodes were removed and in the latter 21.3 nodes. All the patients easily tolerated the procedures and there were no operative complications.

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