Results of Laparoscopic Pelvic and/or Para-Aortic Lymphadenectomy in Gynecologic Oncology Patients in Bangkok Metropolitan Administration Medical College and Vajira Hospital
Thaovalai Thavaramara MD*, Chantawat Sheanakul MD**, Prateep Hanidhikul MD***, Sarwinee Ratchanon MD*, Budsaba Wiriyasirivaj MD*, Surawut Leelahakorn MD*
Affiliation : * Department of Obstetrics and Gynecology, Bangkok Metropolitan Administration Medical College and Vajira Hospital, Bangkok ** Department of Obstetrics and Gynecology, Wattanosoth Hospital, Bangkok *** Department of Obstetrics and Gynecology, Nonthavej Hospital, Bangkok
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
