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- Publisher Website: 10.1016/j.bpobgyn.2015.01.007
- Scopus: eid_2-s2.0-84938747452
- PMID: 25819676
- WOS: WOS:000360873100012
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Article: The role of laparoscopy in staging of different gynaecological cancers
Title | The role of laparoscopy in staging of different gynaecological cancers |
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Authors | |
Keywords | gynaecological cancers staging laparotomy robot-assisted laparoscopic |
Issue Date | 2015 |
Publisher | Bailliere Tindall. The Journal's web site is located at http://www.elsevier.com/locate/bpobgyn |
Citation | Best Practice and Research: Clinical Obstetrics and Gynaecology, 2015, v. 29, n. 6, p. 884-895 How to Cite? |
Abstract | Apart from cervical and vaginal cancers that are staged by clinical examination, most gynaecological cancers are staged surgically. Not only can pelvic and para-aortic lymphadenectomy offer accurate staging information that helps determine patients' prognosis and hence their treatment plan, but it may also provide a therapeutic effect under certain circumstances. In the past, such a procedure required a big laparotomy incision. With the advent of laparoscopic lighting and instrument, laparoscopic lymphadenectomy became popular since the late 1980s. Dargent et al. published the first report on laparoscopic staging in cervical cancers, and many studies then followed. To date, there are numerous case series and trials evaluating the efficacy and safety of laparoscopic surgery in managing gynaecological cancers. In general, compared with laparotomy, laparoscopic lymphadenectomy has less intraoperative blood loss and post-operative pain, fewer wound complications, shorter length of hospital stay and more speedy recovery. However, this is at the expense of longer operative time. The incidence of port-site metastasis is extremely low, although it may be higher in advanced ovarian cancer. Preliminary data showed that there was no significant effect on recurrence and survival, but long-term data are lacking. In this article, the roles of laparoscopy in staging of uterine, cervical and ovarian cancers, the three most common gynaecological cancers, will be reviewed. Novel technologies such as robot-assisted surgery, single-port surgery and sentinel node biopsy will also be discussed.
Copyright © 2015 Elsevier Ltd. All rights reserved. |
Persistent Identifier | http://hdl.handle.net/10722/212069 |
ISSN | 2023 Impact Factor: 3.9 2023 SCImago Journal Rankings: 1.532 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Tse, KY | - |
dc.contributor.author | Ngan, HYS | - |
dc.date.accessioned | 2015-07-21T02:21:30Z | - |
dc.date.available | 2015-07-21T02:21:30Z | - |
dc.date.issued | 2015 | - |
dc.identifier.citation | Best Practice and Research: Clinical Obstetrics and Gynaecology, 2015, v. 29, n. 6, p. 884-895 | - |
dc.identifier.issn | 1521-6934 | - |
dc.identifier.uri | http://hdl.handle.net/10722/212069 | - |
dc.description.abstract | Apart from cervical and vaginal cancers that are staged by clinical examination, most gynaecological cancers are staged surgically. Not only can pelvic and para-aortic lymphadenectomy offer accurate staging information that helps determine patients' prognosis and hence their treatment plan, but it may also provide a therapeutic effect under certain circumstances. In the past, such a procedure required a big laparotomy incision. With the advent of laparoscopic lighting and instrument, laparoscopic lymphadenectomy became popular since the late 1980s. Dargent et al. published the first report on laparoscopic staging in cervical cancers, and many studies then followed. To date, there are numerous case series and trials evaluating the efficacy and safety of laparoscopic surgery in managing gynaecological cancers. In general, compared with laparotomy, laparoscopic lymphadenectomy has less intraoperative blood loss and post-operative pain, fewer wound complications, shorter length of hospital stay and more speedy recovery. However, this is at the expense of longer operative time. The incidence of port-site metastasis is extremely low, although it may be higher in advanced ovarian cancer. Preliminary data showed that there was no significant effect on recurrence and survival, but long-term data are lacking. In this article, the roles of laparoscopy in staging of uterine, cervical and ovarian cancers, the three most common gynaecological cancers, will be reviewed. Novel technologies such as robot-assisted surgery, single-port surgery and sentinel node biopsy will also be discussed. Copyright © 2015 Elsevier Ltd. All rights reserved. | - |
dc.language | eng | - |
dc.publisher | Bailliere Tindall. The Journal's web site is located at http://www.elsevier.com/locate/bpobgyn | - |
dc.relation.ispartof | Best Practice & Research: Clinical Obstetrics & Gynaecology | - |
dc.subject | gynaecological cancers | - |
dc.subject | staging | - |
dc.subject | laparotomy | - |
dc.subject | robot-assisted | - |
dc.subject | laparoscopic | - |
dc.title | The role of laparoscopy in staging of different gynaecological cancers | - |
dc.type | Article | - |
dc.identifier.email | Tse, KY: tseky@hku.hk | - |
dc.identifier.email | Ngan, HYS: hysngan@hkucc.hku.hk | - |
dc.identifier.authority | Ngan, HYS=rp00346 | - |
dc.identifier.doi | 10.1016/j.bpobgyn.2015.01.007 | - |
dc.identifier.pmid | 25819676 | - |
dc.identifier.scopus | eid_2-s2.0-84938747452 | - |
dc.identifier.hkuros | 244220 | - |
dc.identifier.isi | WOS:000360873100012 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1521-6934 | - |