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정한일,박일수,이윤순,유봉재,정연주,전춘식,김대근 대한부인종양 콜포스코피학회 1994 Journal of Gynecologic Oncology Vol.5 No.4
We performed laparoscopic pelvic lymphadenectomy in 7 patients with squamous cell carcinoma in the uterine cervix. Among them, 5 cases were subsequently laparotomy with radical hysterectomy. The others, one case was performed Laparoscpic pelvic lymphadenectomy as Staging Procedure and the other was laparoscopically assisted radical vaginal hysterectomy with pelvic lymphadenectomy without complication. The following results were obtained 1. Total number of pelvic nodes obtained at laparoscopy in 7 cases were 104 2. Average number of pelvic nodes obtained at laparoscopy were 14.2+-6.38(7-23) 3. Average number of additional pelvic nodes obtained at laparotomy were 10.4+- 279(7- 13) 4. % yield by laparoscopy/laparoscopy+laparotomy was 71/123(58%) 5. No positive metastatic lymph nodes were missed by laparartomy 6. Average time, blood loss at laparoscopic lymphadenectomy was 172.1min and 304.3ml, seperately 7. surgical staging procedure was performed at Case 3 8. Laparoscopic Pelvic lymphadenectomy with radical vaginal hysterectomy (type II radical) was done in Case 5. without Laparotomy or complication.