Laparoskopie in der gynäkologischen Onkologie

Translated title of the contribution: Laparoscopy in gynecologic oncology

E. Egger, M. D. Keyver-Paik, W. Kuhn

Research output: Contribution to journalArticlepeer-review

Abstract

Laparoscopy in gynecological oncology may be used for diagnostic and/or therapeutic reasons, depending on the selected tumor entity. In early and low risk endometrial cancer laparoscopy is a safe therapeutic option with a decreased early postoperative morbidity. In high risk endometrial cancer the final role of lymphadenectomy is not yet defined regardless of the surgical approach. In ovarian cancer laparoscopy is a diagnostic tool to verify the correct histology and to assess tumorspread before neoadjuvant chemotherapy. Laparoscopy helps identifying patients with suspected advanced ovarian cancer demonstrating other oncologic and nononcologic diagnoses. Furthermore it is safely used to generate the histology of unclear ovarian masses. In cervical cancer diagnostic laparoscopy may be used for the staging of tumorspread and lymph node involvement. Different therapeutic laparoscopic techniques for radical hysterectomy exist and appear to be safe. In vulvar cancer laparoscopic pelvic lymphadenectomy is a valuable tool in patients with positive groins to identify negative pelvic lymph nodes avoiding unnecessary pelvic radiation. The role of laparoscopy in vaginal cancer cannot be evaluated due to sparse data.

Translated title of the contributionLaparoscopy in gynecologic oncology
Original languageGerman
Pages (from-to)486-495
Number of pages10
JournalChirurgische Praxis
Volume85
Issue number3
StatePublished - 2019
Externally publishedYes

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