Skip to main content

Transperitoneal Versus Extraperitoneal Laparoscopic Lymphadenectomy for Gynecological Malignancies: A Systematic Review and Meta-analysis.

Publication ,  Journal Article
Prodromidou, A; Machairas, N; Spartalis, E; Kostakis, ID; Iavazzo, C; Moris, D; Tsilimigras, DI; Athanasiou, A; Nikiteas, N
Published in: Anticancer research
August 2018

Para-aortic lymphadenectomy is established as a standard procedure for disease staging and management of patients with advanced cervical, ovarian and high-risk endometrial cancer. Our meta-analysis accumulated the current evidence on the impact of transperitoneal (TLL) and extraperitoneal (ELL) laparoscopic lymphadenectomy for the management of patients with gynecological malignancies.A systematic search of the literature was undertaken for articles published up to April 2018. Statistical meta-analysis was performed using the RevMan 5.3 software.Seven studies were eligible for meta-analysis and comprised a total of 608 women. ELL was associated with significantly shorter operative times for lymphadenectomy, whereas total operative times were not different between the two groups. Significantly increased intraoperative complications were found in the TLL group.ELL is safe and efficient with outcomes comparable to TLL in terms of lymph node yield and improved operative outcomes with regard to lymphadenectomy times and intraoperative complications.

Duke Scholars

Published In

Anticancer research

DOI

EISSN

1791-7530

ISSN

0250-7005

Publication Date

August 2018

Volume

38

Issue

8

Start / End Page

4677 / 4681

Related Subject Headings

  • Uterine Cervical Neoplasms
  • Retrospective Studies
  • Prospective Studies
  • Ovarian Neoplasms
  • Oncology & Carcinogenesis
  • Neoplasm Staging
  • Lymphatic Metastasis
  • Lymph Nodes
  • Lymph Node Excision
  • Laparoscopy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Prodromidou, A., Machairas, N., Spartalis, E., Kostakis, I. D., Iavazzo, C., Moris, D., … Nikiteas, N. (2018). Transperitoneal Versus Extraperitoneal Laparoscopic Lymphadenectomy for Gynecological Malignancies: A Systematic Review and Meta-analysis. Anticancer Research, 38(8), 4677–4681. https://doi.org/10.21873/anticanres.12773
Prodromidou, Anastasia, Nikolaos Machairas, Eleftherios Spartalis, Ioannis D. Kostakis, Christos Iavazzo, Dimitrios Moris, Diamantis I. Tsilimigras, Antonios Athanasiou, and Nikolaos Nikiteas. “Transperitoneal Versus Extraperitoneal Laparoscopic Lymphadenectomy for Gynecological Malignancies: A Systematic Review and Meta-analysis.Anticancer Research 38, no. 8 (August 2018): 4677–81. https://doi.org/10.21873/anticanres.12773.
Prodromidou A, Machairas N, Spartalis E, Kostakis ID, Iavazzo C, Moris D, et al. Transperitoneal Versus Extraperitoneal Laparoscopic Lymphadenectomy for Gynecological Malignancies: A Systematic Review and Meta-analysis. Anticancer research. 2018 Aug;38(8):4677–81.
Prodromidou, Anastasia, et al. “Transperitoneal Versus Extraperitoneal Laparoscopic Lymphadenectomy for Gynecological Malignancies: A Systematic Review and Meta-analysis.Anticancer Research, vol. 38, no. 8, Aug. 2018, pp. 4677–81. Epmc, doi:10.21873/anticanres.12773.
Prodromidou A, Machairas N, Spartalis E, Kostakis ID, Iavazzo C, Moris D, Tsilimigras DI, Athanasiou A, Nikiteas N. Transperitoneal Versus Extraperitoneal Laparoscopic Lymphadenectomy for Gynecological Malignancies: A Systematic Review and Meta-analysis. Anticancer research. 2018 Aug;38(8):4677–4681.

Published In

Anticancer research

DOI

EISSN

1791-7530

ISSN

0250-7005

Publication Date

August 2018

Volume

38

Issue

8

Start / End Page

4677 / 4681

Related Subject Headings

  • Uterine Cervical Neoplasms
  • Retrospective Studies
  • Prospective Studies
  • Ovarian Neoplasms
  • Oncology & Carcinogenesis
  • Neoplasm Staging
  • Lymphatic Metastasis
  • Lymph Nodes
  • Lymph Node Excision
  • Laparoscopy