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Original ArticleOpen Access
Results of Laparoscopic Pelvic and/or Para-Aortic Lymphadenectomy in Gynecologic Oncology Patients in Bangkok Metropolitan Administration Medical College and Vajira Hospital
Thavaramara T 
,
Sheanakul C ,
Hanidhikul P ,
Ratchanon S ,
Wiriyasirivaj B ,
Leelahakorn S
,
Sheanakul C ,
Hanidhikul P ,
Ratchanon S ,
Wiriyasirivaj B ,
Leelahakorn S Objective: To determine the results of laparoscopic lymphadenectomy in gynecologic oncology patients.
Material and Method: Medical records of 31 gynecologic oncology patients who underwent laparoscopic
lymphadenectomy between November 1, 2004 and February 28, 2007 were retrospectively reviewed.
Results: The median age of the study population was 47 years (range 24-77 years). Sixteen patients (51.6%)
had endometrial cancer while 15(48.4%) had ovarian malignancy, with median numbers of resected pelvic
and paraaortic nodes of 12 (range 3-30 nodes) and 1 (range 1-3 nodes). The groups of lymphadenectomy only,
lymphadenectomy with total laparoscopic hysterectomy, and lymphadenectomy with laparoscopic assisted
vaginal hysterectomy had median blood losses of 100 ml (range 30-220 ml), 350 ml (range 100-800 ml), and
200 ml (range 150-400 ml) respectively. Accidental injuries of common iliac artery and large bowel occurred
in two patients, all of whom were converted to a laparotomy for correcting the damaged sites. Overall, the
median duration for postoperative recovery was three days (range 2-8 days).
Conclusion: The results suggest that surgical staging for gynecologic malignancies can be adequately
performed through laparoscopic surgery, with benefit in terms of early postoperative recovery.
Keywords: Endometrial cancer, Laparoscopic lymphadenectomy, Ovarian cancer
Material and Method: Medical records of 31 gynecologic oncology patients who underwent laparoscopic
lymphadenectomy between November 1, 2004 and February 28, 2007 were retrospectively reviewed.
Results: The median age of the study population was 47 years (range 24-77 years). Sixteen patients (51.6%)
had endometrial cancer while 15(48.4%) had ovarian malignancy, with median numbers of resected pelvic
and paraaortic nodes of 12 (range 3-30 nodes) and 1 (range 1-3 nodes). The groups of lymphadenectomy only,
lymphadenectomy with total laparoscopic hysterectomy, and lymphadenectomy with laparoscopic assisted
vaginal hysterectomy had median blood losses of 100 ml (range 30-220 ml), 350 ml (range 100-800 ml), and
200 ml (range 150-400 ml) respectively. Accidental injuries of common iliac artery and large bowel occurred
in two patients, all of whom were converted to a laparotomy for correcting the damaged sites. Overall, the
median duration for postoperative recovery was three days (range 2-8 days).
Conclusion: The results suggest that surgical staging for gynecologic malignancies can be adequately
performed through laparoscopic surgery, with benefit in terms of early postoperative recovery.
Keywords: Endometrial cancer, Laparoscopic lymphadenectomy, Ovarian cancer
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