Feasibility of laparoscopic extraperitoneal surgical staging for locally advanced cervical carcinoma in a gynecologic oncology fellowship training program.
Identifieur interne : 003887 ( PubMed/Curation ); précédent : 003886; suivant : 003888Feasibility of laparoscopic extraperitoneal surgical staging for locally advanced cervical carcinoma in a gynecologic oncology fellowship training program.
Auteurs : M Patrick Lowe [États-Unis] ; Afshin Bahador ; Laila I. Muderspach ; Alexander Burnett ; Luis Santos ; Angela Caffrey ; Lynda D. Roman ; C Paul MorrowSource :
- Journal of minimally invasive gynecology [ 1553-4650 ]
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Bourses d'études et bourses universitaires, Carcinomes (anatomopathologie), Compétence clinique, Femelle, Humains, Laparoscopie, Oncologie médicale (enseignement et éducation), Procédures de chirurgie gynécologique (enseignement et éducation), Stade de la tumeur, Sujet âgé, Tumeurs du col de l'utérus (anatomopathologie), Études de faisabilité, Études rétrospectives.
- MESH :
- anatomopathologie : Carcinomes, Tumeurs du col de l'utérus.
- enseignement et éducation : Oncologie médicale, Procédures de chirurgie gynécologique.
- Adolescent, Adulte, Adulte d'âge moyen, Bourses d'études et bourses universitaires, Compétence clinique, Femelle, Humains, Laparoscopie, Stade de la tumeur, Sujet âgé, Études de faisabilité, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Carcinoma (pathology), Clinical Competence, Feasibility Studies, Fellowships and Scholarships, Female, Gynecologic Surgical Procedures (education), Humans, Laparoscopy, Medical Oncology (education), Middle Aged, Neoplasm Staging, Retrospective Studies, Uterine Cervical Neoplasms (pathology).
- MESH :
Abstract
Feasibility of laparoscopic extraperitoneal surgical staging for locally advanced cervical carcinoma in a gynecologic oncology fellowship training program.
DOI: 10.1016/j.jmig.2006.04.007
PubMed: 16962520
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Muderspach</name></author><author><name sortKey="Burnett, Alexander" sort="Burnett, Alexander" uniqKey="Burnett A" first="Alexander" last="Burnett">Alexander Burnett</name></author><author><name sortKey="Santos, Luis" sort="Santos, Luis" uniqKey="Santos L" first="Luis" last="Santos">Luis Santos</name></author><author><name sortKey="Caffrey, Angela" sort="Caffrey, Angela" uniqKey="Caffrey A" first="Angela" last="Caffrey">Angela Caffrey</name></author><author><name sortKey="Roman, Lynda D" sort="Roman, Lynda D" uniqKey="Roman L" first="Lynda D" last="Roman">Lynda D. 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Muderspach</name></author><author><name sortKey="Burnett, Alexander" sort="Burnett, Alexander" uniqKey="Burnett A" first="Alexander" last="Burnett">Alexander Burnett</name></author><author><name sortKey="Santos, Luis" sort="Santos, Luis" uniqKey="Santos L" first="Luis" last="Santos">Luis Santos</name></author><author><name sortKey="Caffrey, Angela" sort="Caffrey, Angela" uniqKey="Caffrey A" first="Angela" last="Caffrey">Angela Caffrey</name></author><author><name sortKey="Roman, Lynda D" sort="Roman, Lynda D" uniqKey="Roman L" first="Lynda D" last="Roman">Lynda D. Roman</name></author><author><name sortKey="Morrow, C Paul" sort="Morrow, C Paul" uniqKey="Morrow C" first="C Paul" last="Morrow">C Paul Morrow</name></author></analytic><series><title level="j">Journal of minimally invasive gynecology</title><idno type="ISSN">1553-4650</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Carcinoma (pathology)</term><term>Clinical Competence</term><term>Feasibility Studies</term><term>Fellowships and Scholarships</term><term>Female</term><term>Gynecologic Surgical Procedures (education)</term><term>Humans</term><term>Laparoscopy</term><term>Medical Oncology (education)</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Retrospective Studies</term><term>Uterine Cervical Neoplasms (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bourses d'études et bourses universitaires</term><term>Carcinomes (anatomopathologie)</term><term>Compétence clinique</term><term>Femelle</term><term>Humains</term><term>Laparoscopie</term><term>Oncologie médicale (enseignement et éducation)</term><term>Procédures de chirurgie gynécologique (enseignement et éducation)</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Tumeurs du col de l'utérus (anatomopathologie)</term><term>Études de faisabilité</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Carcinomes</term><term>Tumeurs du col de l'utérus</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Gynecologic Surgical Procedures</term><term>Medical Oncology</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Oncologie médicale</term><term>Procédures de chirurgie gynécologique</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Carcinoma</term><term>Uterine Cervical Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Clinical Competence</term><term>Feasibility Studies</term><term>Fellowships and Scholarships</term><term>Female</term><term>Humans</term><term>Laparoscopy</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bourses d'études et bourses universitaires</term><term>Compétence clinique</term><term>Femelle</term><term>Humains</term><term>Laparoscopie</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Études de faisabilité</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Feasibility of laparoscopic extraperitoneal surgical staging for locally advanced cervical carcinoma in a gynecologic oncology fellowship training program.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16962520</PMID><DateCreated><Year>2006</Year><Month>09</Month><Day>11</Day></DateCreated><DateCompleted><Year>2007</Year><Month>01</Month><Day>30</Day></DateCompleted><DateRevised><Year>2006</Year><Month>09</Month><Day>11</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1553-4650</ISSN><JournalIssue CitedMedium="Print"><Volume>13</Volume><Issue>5</Issue><PubDate><MedlineDate>2006 Sep-Oct</MedlineDate></PubDate></JournalIssue><Title>Journal of minimally invasive gynecology</Title><ISOAbbreviation>J Minim Invasive Gynecol</ISOAbbreviation></Journal><ArticleTitle>Feasibility of laparoscopic extraperitoneal surgical staging for locally advanced cervical carcinoma in a gynecologic oncology fellowship training program.</ArticleTitle><Pagination><MedlinePgn>391-7</MedlinePgn></Pagination><Abstract><AbstractText Label="STUDY OBJECTIVE" NlmCategory="OBJECTIVE">Feasibility of laparoscopic extraperitoneal surgical staging for locally advanced cervical carcinoma in a gynecologic oncology fellowship training program.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Retrospective analysis (II-2) of all patients who underwent laparoscopic extraperitoneal surgical staging at Women and Children's Hospital for locally advanced cervical cancer between June 2002 and June 2005.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Gynecologic oncology fellowship training program at a University-County Hospital</AbstractText><AbstractText Label="PATIENTS" NlmCategory="METHODS">Thirty-two patients with clinical stage IIB-IVA cervical carcinoma were identified.</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Laparoscopic extraperitoneal surgical staging for clinical stage IIB-IVA cervical cancer.</AbstractText><AbstractText Label="MEASUREMENTS AND MAIN RESULTS" NlmCategory="RESULTS">A total of 32 cases of laparoscopic extraperitoneal surgical staging for locally advanced cervical cancer performed by fellows-in-training were identified. Fellows were first assistant surgeon in 10 cases, and operating surgeon in 22 cases. Each fellow was mentored an average of 5 cases as first assistant surgeon. As operating surgeon, all 22 fellow cases (100%) were successfully performed without conversion to laparotomy. Fellow mean operative time was 163 minutes. Fellow mean aortic nodal count was 14. Fellow mean blood loss was 42 mL. The mean hospital stay was 1.6 days. Overall, 2 patients (6.2%) experienced a complication from the procedure. Over one half (53%) of the patients reported a prior abdominal surgery. No lymphedema has been reported in patients who underwent laparoscopic extraperitoneal surgical staging with a median follow-up of 10 months. Surgical comorbidities such as hypertension, diabetes, and obesity were common in the study group. A steep surgical learning curve for the fellows was demonstrated by comparing mean operative times to academic year. Aortic nodal metastasis was detected in 25% of cases, and 14% were occult.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">It is feasible to teach laparoscopic extraperitoneal surgical staging to fellows-in-training. Our data suggest that by the end of training, fellows can become proficient with the procedure and are capable of surgical outcomes and complication rates comparable to reported literature.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lowe</LastName><ForeName>M Patrick</ForeName><Initials>MP</Initials><AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California Keck School of Medicine, Los Angeles, California 90033, USA. plowe@WESTCLINIC.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bahador</LastName><ForeName>Afshin</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Muderspach</LastName><ForeName>Laila I</ForeName><Initials>LI</Initials></Author><Author ValidYN="Y"><LastName>Burnett</LastName><ForeName>Alexander</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Santos</LastName><ForeName>Luis</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Caffrey</LastName><ForeName>Angela</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Roman</LastName><ForeName>Lynda D</ForeName><Initials>LD</Initials></Author><Author ValidYN="Y"><LastName>Morrow</LastName><ForeName>C Paul</ForeName><Initials>CP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Minim Invasive Gynecol</MedlineTA><NlmUniqueID>101235322</NlmUniqueID><ISSNLinking>1553-4650</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002277" MajorTopicYN="N">Carcinoma</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005257" MajorTopicYN="Y">Fellowships and Scholarships</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013509" MajorTopicYN="N">Gynecologic Surgical Procedures</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010535" MajorTopicYN="Y">Laparoscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008495" MajorTopicYN="N">Medical Oncology</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002583" MajorTopicYN="N">Uterine Cervical Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2005</Year><Month>11</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2006</Year><Month>03</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2006</Year><Month>04</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>9</Month><Day>12</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>1</Month><Day>31</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>9</Month><Day>12</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16962520</ArticleId><ArticleId IdType="pii">S1553-4650(06)00180-4</ArticleId><ArticleId IdType="doi">10.1016/j.jmig.2006.04.007</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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