Related Experiment Video
Updated: Aug 14, 2026
Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
Pelvic lymphadenectomy for cervical cancer: extraperitoneal versus laparoscopic approach
Giovanni Larciprete1, Beniamino Casalino, Mario F Segatore
1Associazione Fatebenefratelli per la Ricerca, Department of Obstetrics and Gynecology, Fatebenefratelli Isola Tiberina Hospital, P.zza Fatebenefratelli 39, 00186 Rome, Italy. glarciprete@libero.it
Objective:
To compare the extraperitoneal versus the laparoscopic technique in performing pelvic lymphadenectomy in a series of patients undergoing a radical vaginal hysterectomy for locally advanced cervical cancer.
Study Design:
Retrospective study with 42 patients undergoing a radical vaginal hysterectomy for cervical cancer. Patients from group A (20 patients) had a laparoscopic lymph node dissection and patients belonging to group B (22 patients) had an extraperitoneal lymphadenectomy. Historical data, clinical and surgical characteristics, perioperative and post-operative complications were analyzed. Follow-up was conducted according to the oncologic requirements.
Results:
No significant difference was observed between the two groups in terms of blood loss, post-operative pain, transfusions, hospital stay and post-operative hematomas. The extraperitoneal group (group B) significantly showed a reduced operating time, a greater number of nodes removed (p<0.05). The only lymphocyst occurred in group B.
Conclusions:
Extraperitoneal pelvic lymphadenectomy can be considered an adequate technique to complement radical vaginal operations for cervical cancer.
