Evaluación quirúrgica de la linfadenectomía pélvica por laparoscopia en el tratamiento de neoplasias ginecológicas

Abstract

Introduction

Nowadays, the approach to gynecological malignancies is surgical and pelvic lymphadenectomy is needed for staging. To do this, laparoscopy is becoming the gold standard. However, in our environment, this modality is still restricted to large university hospitals.

Material and methods

We performed a retrospective review of 26 pelvic lymphadenectomies performed at the Centro de Ginecología y Medicina Fetal in Bilbao, Basque Country, Spain, to investigate its surgical results and applicability.

Results

The mean surgical time was 90 min (70-135 min) and the mean number of nodes excised was 10.1 (2-17), with only one case of positive pelvic node. The mean time till discharge from the hospital was 2.17 days (2-3). The conversion rate to laparotomy was 0%, if patients who required laparotomy for other reasons during the oncologic intervention were excluded. There were no major complications and the rate of minor complications was low (11.53%).

Conclusions

Laparoscopic pelvic lymphadenectomy is a safe and feasible procedure and is currently the gold standard for pelvic node excision in gynecologic malignancies.