Pelvic lymphadenectomy for cervical cancer: extraperitoneal versus laparoscopic approach

Eur J Obstet Gynecol Reprod Biol. 2006 Jun 1;126(2):259-63. doi: 10.1016/j.ejogrb.2005.09.019. Epub 2005 Dec 15.


Objective: To compare the extraperitoneal versus the laparoscopic technique in performing pelvic lymphadenectomy in a series of patients undergoing a radical vaginal hysterectomy for locally advanced cervical cancer.

Study design: Retrospective study with 42 patients undergoing a radical vaginal hysterectomy for cervical cancer. Patients from group A (20 patients) had a laparoscopic lymph node dissection and patients belonging to group B (22 patients) had an extraperitoneal lymphadenectomy. Historical data, clinical and surgical characteristics, perioperative and post-operative complications were analyzed. Follow-up was conducted according to the oncologic requirements.

Results: No significant difference was observed between the two groups in terms of blood loss, post-operative pain, transfusions, hospital stay and post-operative hematomas. The extraperitoneal group (group B) significantly showed a reduced operating time, a greater number of nodes removed (p<0.05). The only lymphocyst occurred in group B.

Conclusions: Extraperitoneal pelvic lymphadenectomy can be considered an adequate technique to complement radical vaginal operations for cervical cancer.

Publication types

  • Evaluation Study

MeSH terms

  • Female
  • Humans
  • Hysterectomy / methods*
  • Italy
  • Laparoscopy / methods
  • Lymph Node Excision / methods*
  • Lymph Nodes / pathology
  • Lymph Nodes / surgery
  • Lymphatic Metastasis
  • Middle Aged
  • Neoplasm Staging
  • Pelvis / pathology
  • Pelvis / surgery
  • Postoperative Complications
  • Retrospective Studies
  • Treatment Outcome
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / surgery*