Cœliochirurgie des cancers gynécologiques

Translated title of the contribution: Laparoscopic surgery and gynaecological cancers

Denis Querleu, Eric Leblanc, Gwenael Ferron, Fabrice Narducci, Arash Rafii Tabrizi, Pierre Martel

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

The use of laparoscopic staging and/or surgery in the field of gynaecological oncology was pioneered in the late 80's and the first reports were published in the early 90's. The issue has been initially most controversial, and is still debated, with some justification considering the possible adverse consequences of surgical mismanagement of gynaecologic malignancy. Since then, a number of papers have confirmed the absence of significant adverse effects on survival after laparoscopic diagnosis or surgery in gynaecological cancers. New developments cover virtually all the basic techniques in cancer surgery, including major exenterative surgery. The use of extraperitoneal technique for aortic dissections is emerging as a new tool. New indications, such as radical vaginal trachelectomy (Dargent operation), radical parametrectomy, pelvic sentinel node identification, decisional laparoscopy in adnexal malignancies, or the use of pretherapeutic surgical staging of uterine cancers, have been developed in direct relation with the use of laparoscopic techniques. Worldwide interest clearly demonstrates that laparoscopic techniques must now be part of the armamentarium of the gynaecologic oncologist. Postoperative morbidity and recurrence risk do not seem to be affected. Cost-efficiency of laparoscopic procedures is based on the reduction of hospital stay and recovery time, particularly in obese patients. Combined training in gynaecologic oncology and in laparoscopic and/or vaginal surgery is more than ever mandatory to reduce the operating time, which is becoming similar to laparotomy in experiences hands, and avoid the risk of inadequate staging or management of pelvic malignancies.

Original languageFrench
Pages (from-to)1063-1071
Number of pages9
JournalBulletin du Cancer
Volume94
Issue number12
DOIs
Publication statusPublished - Dec 2007
Externally publishedYes

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Keywords

  • Gynaecology
  • Laparoscopy

ASJC Scopus subject areas

  • Oncology

Cite this

Querleu, D., Leblanc, E., Ferron, G., Narducci, F., Tabrizi, A. R., & Martel, P. (2007). Cœliochirurgie des cancers gynécologiques. Bulletin du Cancer, 94(12), 1063-1071. https://doi.org/10.1684/bdc.2007.0522