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Table 3 Surgical staging in advanced cervical cancer: experience

From: Laparoscopic staging in advanced cervical cancer: the pros and cons of an oncological concept

Author [Reference] Number of patients Findings/conclusions
Childers et al. [12] 10 Complete surgical staging including para-aortic lymphadenectomy prior to radiation therapy is feasible
Recio et al. [13] 12 Staging laparoscopy including para-aortic lymph node dissection prior to radiation therapy is associated with minimal morbidity and adds valuable information regarding treatment planning
Goff et al. [14] 86 Staging was performed retroperitoneally in 61 patients, laparoscopically in 18 patients, and by laparotomy in 7. Surgical staging resulted in modification of the standard pelvic radiation field for 43% of the patients
Chu et al. [15] 67 Laparoscopic pelvic and para-aortic lymphadenectomy is an efficient and feasible pretreatment staging procedure
Vidaurreta et al. [16] 84 Out of 49 pelvic CT scans, 38 were reported to be normal but 18 of these 38 had positive nodes which were detected laparoscopically. In summary: feasible method
Querleu et al. [17] 53 Extraperitoneal endosurgical aortic and common iliac dissection: tool to identify lymph node positive patients requiring extended field radiation therapy
Hertel et al. [8] 109 Laparoscopic staging is accurate, associated with low morbidity and provides information for treatment adjustment
Vergote et al. [9] 42 Feasible method with low morbidity. 18% of patients without suspicion of para-aortic metastases on CT were found to have para-aortic metastases