BACKGROUND: We reviewed the published experimental and clinical data, available in MEDLINE, and compared them with our own experience, in a university-affiliated tertiary medical center of obstetrics and gynecology in order to report on the accepted indications for laparoscopic pelvic lymphadenectomy. METHODS: Surgical staging of @entity2622 can be performed via the laparoscopic approach. Intraperitoneal biopsies, washings, and pelvic lymphadenectomy can also be carried out with high accuracy and limited morbidity. Node-negative @entity1 are better treated by a radical hysterectomy performed either simultaneously (using frozen sections) or secondarily after routine pathologic examination of the pelvic nodes. Node-positive @entity1 have a poor prognosis, no matter what the treatment is, and are generally considered for radiotherapy and/or chemotherapy. The use of laparoscopic pelvic lymphadenectomy in advanced @entity5 is limited. RESULTS: Laparoscopy has a direct therapeutic application in @entity1204 . Total hysterectomy, bilateral salpingo-oophorectomy, and pelvic lymphadenectomy can all be performed via laparoscopy. Thus, stage I and some stage II @entity1204 can be treated exclusively laparoscopically. This approach seems as effective as laparotomy, but it dramatically reduces the costs and morbidity associated with conventional treatment. CONCLUSIONS: Currently, the use of laparoscopy in @entity43 is confined to referral centers. Laparoscopy appears to be as effective as laparotomy for second-look surgery. Treatment of stage II and more advanced @entity43 has been reported, but it cannot be recommended in a routine situation.

Transperitoneal laparoscopic pelvic lymphadenectomy for XXXX (II). Indications.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity43 :: ('MESH:D010051', 'Disease') :: ['ovarian cancers', 'ovarian and tubal cancers'] @entity1204 :: ('MESH:D016889', 'Disease') :: ['endometrial carcinoma', 'endometrial cancers'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cervical cancers'] @entity2622 :: ('MESH:D002583', 'Disease') :: ['cervical carcinoma']
@entity5 :: (MESH:D009369,Disease) :: ['gynecologic malignancies']
