[Place of celiosurgery in the extensive diagnosis of gynecologic cancers]

Ann Chir. 1994;48(10):930-5.
[Article in French]

Abstract

Laparoscopic surgery occupies an increasingly important place in the diagnosis and staging of gynaecological cancers. It allows repeated complete investigation of the abdomen and retroperitoneum: macroscopic examination of the peritoneum, cytology, biopsies, infracolonic omentectomy, appendicectomy, pelvic and para-aortic lymphadenectomy, without interfering with therapeutic procedures (simple or radical hysterectomy) which can be associated. In cancers of the endometrium, it is part of a surgical strategy associating vaginal hysterectomy. In ovarian cancers, it is essentially applied to restaging of insufficiently explored apparent stage I tumours. In operable cervical cancer, it guides the therapeutic protocol and surgical indication by allowing interiliac lymphadenectomy. In advanced cervical cancers, it is used to detect para-aortic lymph nodes.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Endometrial Neoplasms / surgery*
  • Female
  • Humans
  • Laparoscopy / methods*
  • Lymph Node Excision
  • Lymphatic Metastasis
  • Ovarian Neoplasms / surgery*
  • Uterine Cervical Neoplasms / surgery*