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Updated: Jun 22, 2026
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Total laparoscopic radical parametrectomy, partial colpectomy, and pelvic lymphadenectomy in patients with occult
Alessandro Buda1, Antonio Pellegrino, Domenico Vitobello
1Department of Obstetrics and Gynecology, University of Milano-Bicocca, San Gerardo Hospital, Via Pergolesi 33, Monza, Italy. alessandro.buda@fastwebnet.it
Objective:
To assess total laparoscopic radical parametrectomy (TLRP) with pelvic lymphadenectomy and partial colpectomy as a safe and feasible treatment option for patients with occult cervical cancer.
Methods:
Twelve patients with occult invasive cervical cancer underwent TLRP after prior extrafascial hysterectomy.
Results:
No intraoperative complications occurred. Two patients experienced postoperative complications: an iliac lymphocyst with pyelectasis, and a vaginal evisceration that occurred during sexual intercourse. Nine patients required no further treatment. One patient with residual disease received brachytherapy as adjuvant treatment. Two patients with positive nodes not detected at preoperative work-up received adjuvant concomitant radiochemotherapy.
Conclusion:
TLRP with pelvic lymphadenectomy is a safe and feasible treatment in patients with occult invasive cervical cancer discovered after extrafascial hysterectomy.
