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Laparoscopic radical parametrectomy including paraaortic and pelvic lymphadenectomy in women after prior hysterectomy: three cases.

BACKGROUND
Radical abdominal surgery in patients who have previously undergone a hysterectomy is a surgical challenge. This type of surgery for invasive cervical cancer after a hysterectomy or for vaginal stump metastasis traditionally requires a major laparotomy; however, a minimal access approach is now being applied to this type of procedure.


METHODS
A laparoscopic radical parametrectomy including a paraaortic and pelvic lymphadenectomy was performed on two patients with invasive cervical cancer diagnosed after a simple hysterectomy and one patient with recurrent endometrial cancer in the vaginal stump.


RESULTS
All three patients had an excellent clinical outcome and made a rapid recovery, even though two cases involved a bladder laceration.


CONCLUSION
A laparoscopic radical parametrectomy including a paraaortic and pelvic lymphadenectomy is a viable technique for women with invasive cervical cancer or recurrent endometrial vaginal cancer after a prior hysterectomy.