Erken evre endometrium kanserinde eksik cerrahi sonrası laparoskopik pelvik lenf nodu diseksiyonu: Olgu sunumu

Erken evre endometrium kanserinde geleneksel laparotomik cerrahi evrelemenin yerine laparoskopik yaklaşım, güvenli ve etkin bir seçenek olarak sunulmaya başlanmıştır. Bu yazıda, erken evre endometrium kanseri nedeniyle başka bir merkezde eksik cerrahi uygulanan, daha sonra merkezimizde laparoskopik pelvik lenfadenektomi yapılan 39 yaşındaki bir hasta sunuldu. Laparoskopik lenfadenektomi, lenf nodu diseksiyonu gerektiren jinekolojik maligniteler için teknik olarak geçerli ve güvenli bir yöntem olarak görünmektedir

Anahtar Kelimeler:

Lenf düğümü çıkartılması, Laparoskopi, Erişkin, Yumurtalık neoplazmları, Endometriyum neoplazmları, Adenokarsinom, Kadın

Laparoscopic pelvic lymph node dissection in early-stage endometrium cancer after incomplete surgery, A case report

Laparoscopic surgery has been suggested as a safe and effective alternative to laparotomy for the treatment of early stage endometrial cancer. In this study, we presented a 39-year-old patient who underwent pelvic lymphadenectomy through laparoscopy at our center following incomplete surgery at another center for early stage endometrium cancer. Laparoscopic lymphadenectomy seems to be a safe and reliable method for gynecologic malignancies that require lymph node dissection.

Keywords:

Lymph Node Excision, Laparoscopy, Adult, Ovarian Neoplasms, Endometrial Neoplasms, Adenocarcinoma, Female,

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1. Scribner DR Jr, Walker JL, Johnson GA, McMeekin SD, Gold MA, Mannel RS. Surgical management of early-stage endometrial cancer in the elderly: is laparoscopy feasible? Gynecol Oncol 2001;83:563-8.
2. Spirtos NM, Schlaerth JB, Gross GM, Spirtos TW, Schlaerth AC, Ballon SC. Cost and quality-of-life analyses of surgery for early endometrial cancer: laparotomy versus laparoscopy. Am J Obstet Gynecol 1996;174:1795-9; discussion 1799-800.
3. Childers JM, Surwit EA. Combined laparoscopic and vaginal surgery for the management of two cases of stage I endometrial cancer. Gynecol Oncol 1992;45:46-51.
4. Mariani A, Webb MJ, Keeney GL, Haddock MG, Calori G, Podratz KC. Low-risk corpus cancer: is lymphadenectomy or radiotherapy necessary? Am J Obstet Gynecol 2000;182:1506-19.
5. Schink JC, Rademaker AW, Miller DS, Lurain JR. Tumor size in endometrial cancer. Cancer 1991;67:2791-4.
6. Creasman WT, Morrow CP, Bundy BN, Homesley HD, Graham JE, Heller PB. Surgical pathologic spread patterns of endometrial cancer. A Gynecologic Oncology Group Study. Cancer 1987;60(8 Suppl):2035-41.
7. Childers JM, Spirtos NM, Brainard P, Surwit EA. Laparoscopic staging of the patient with incompletely staged early adenocarcinoma of the endometrium. Obstet Gynecol 1994;83:597-600.
8. Abu-Rustum NR, Chi DS, Sonoda Y, DiClemente MJ, Bekker G, Gemignani M, et al. Transperitoneal laparoscopic pelvic and para-aortic lymph node dissection using the argon-beam coagulator and monopolar instruments: an 8-year study and description of technique. Gynecol Oncol 2003;89:504-13.
9. Abu-Rustum NR, Rhee EH, Chi DS, Sonoda Y, Gemignani M, Barakat RR. Subcutaneous tumor implantation after laparoscopic procedures in women with malignant disease. Obstet Gynecol 2004;103:480-7.
10. Wang PH, Yuan CC, Lin G, Ng HT, Chao HT. Risk factors contributing to early occurrence of port site metastases of laparoscopic surgery for malignancy. Gynecol Oncol 1999;72:38-44.