NEW DEVELOPMENT OF LAPAROSCOPIC ULTRASOUND AND LAPAROSCOPIC PELVIC LYMPHADENECTOMY IN THE MANAGEMENT OF PATIENTS WITH CERVICAL-CARCINOMA

Objectives. The objectives of this study were to evaluate the use of l aparoscopic ultrasonography (USG) in combination with laparoscopic pel vic lymphadenectomy in the management of patients with cervical carcin oma. Methods. A technique for detecting pelvic and para-aortic lymph n ode metastases through laparoscopic USG was developed. Laparoscopic US G was done prior to pelvic lymphadenectomy performed either laparoscop ically or by laparotomy. Laparoscopic USG findings were compared with pathologic findings. Results. The sensitivity and specificity of lapar oscopic USG in detecting pelvic lymph node metastases were 91 and 100% , respectively. Metastatic pelvic lymph nodes could be completely remo ved through laparoscopes in 7 of 11 patients, with no complications. C onclusion. Laparoscopic USG is highly sensitive in detecting metastati c pelvic lymph nodes. Detection and removal of metastatic pelvic lymph nodes laparoscopically allow quick recovery from the operation and ea rly commencement of radiotherapy. (C) 1998 Academic Press.