Cervical dysplasia (CIN III) disseminating to the fallopian tube during laparoscopic hysterectomy.

摘要

Over the past decade, modern laparo-scopic equipment and techniques have expanded the role of diagnosis and operative laparoscopy. Several studies have shown laparoscopy-assisted vaginal hysterectomy and total laparoscopic hysterectomy to be technically efficacious and well tolerated in benign gynecological diseases. In 1995 Kadar predicted that as techniques improve, women with endometrial or cervical carcinoma who are surgical candidates will be treated laparoscopically rather than by traditional techniques. Indeed today, a growing number of patients are enjoying the advantages of minimal-access surgery, including patients with gynecological malignancies. While overall survival and recurrence rates with laparoscopy and laparotomy were reported to be similar, laparoscopy is associated with less morbidity and a shorter hospital stay. However, the use of laparoscopy in cancer and pre-cancer states bears the potential complication of tumor spread and tumor implantation in different sites. Cases of tumor spread with distant metastases and port-site recurrence after laparoscopy were reported for different abdominal or pelvic carcinomas.