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Chapter-02 Gynecological Malignancy and Laparoscopy: Yesterday’s Contraindications are Today’s Indications

BOOK TITLE: Manual of 3D Laparoscopy and Operative Oncology

Author
1. Limbachiya Dipak
ISBN
9789352703753
DOI
10.5005/jp/books/18025_3
Edition
1/e
Publishing Year
2018
Pages
4
Author Affiliations
1. Ahmedabad, Gujarat, Eva Women’s Hospital and Endoscopy Center, Ahmedabad, Gujarat, India
Chapter keywords
Laparoscopy, gynecological malignancy, metastatic disease, cervical carcinoma, endometrial carcinoma, ovarian carcinoma, laparoscopic lymphadenectomy

Abstract

Laparoscopy is selectively adopted for the management of apparently early stage disease, defined as organ-confined cancer with no evidence of gross metastatic disease, and based upon preoperative imaging studies or laparoscopic inspection. Since the introduction of the laparoscope by Jacobaeus in 1910, its usefulness in the surgical arena has been met with skepticism by traditional surgeons. The first case of laparoscopic staging of ovarian cancer was reported in 1975. Subsequently many others used the laparoscope as a diagnostic tool in second-look operations. The slow integration of laparoscopy into gynecology oncology, other than as a diagnostic tool, was because of the belief that radical surgery could not be performed adequately or safely. Currently, advanced laparoscopic techniques are used to evaluate and treat cervical, endometrial and ovarian malignancies.

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