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Article: The role of laparoscopy in staging of different gynaecological cancers

TitleThe role of laparoscopy in staging of different gynaecological cancers
Authors
Issue Date2015
PublisherBailliere Tindall. The Journal's web site is located at http://www.elsevier.com/locate/bpobgyn
Citation
Best Practice & Research: Clinical Obstetrics & Gynaecology, 2015 How to Cite?
AbstractApart 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 Identifierhttp://hdl.handle.net/10722/212069
ISSN
2015 Impact Factor: 2.291
2015 SCImago Journal Rankings: 1.123

 

DC FieldValueLanguage
dc.contributor.authorTse, KY-
dc.contributor.authorNgan, HYS-
dc.date.accessioned2015-07-21T02:21:30Z-
dc.date.available2015-07-21T02:21:30Z-
dc.date.issued2015-
dc.identifier.citationBest Practice & Research: Clinical Obstetrics & Gynaecology, 2015-
dc.identifier.issn1521-6934-
dc.identifier.urihttp://hdl.handle.net/10722/212069-
dc.description.abstractApart 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.languageeng-
dc.publisherBailliere Tindall. The Journal's web site is located at http://www.elsevier.com/locate/bpobgyn-
dc.relation.ispartofBest Practice & Research: Clinical Obstetrics & Gynaecology-
dc.titleThe role of laparoscopy in staging of different gynaecological cancers-
dc.typeArticle-
dc.identifier.emailTse, KY: tseky@hku.hk-
dc.identifier.emailNgan, HYS: hysngan@hkucc.hku.hk-
dc.identifier.authorityNgan, HYS=rp00346-
dc.identifier.doi10.1016/j.bpobgyn.2015.01.007-
dc.identifier.pmid25819676-
dc.identifier.hkuros244220-
dc.publisher.placeUnited Kingdom-

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