Contributors xi
Preface to the fi rst edition xv
Preface to the second edition xvii
Preface to the third edition xviii
Acknowledgments xix
I Uterine and Vaginal Procedures
1 Cold knife conization of the cervix 1
Nadeem R. Abu-Rustum
2 Sentinel lymph node identifi cation for early-stage cervical and uterine cancer 3
Nadeem R. Abu-Rustum and Lukas Rob
3 Surgical staging of apparent early-stage uterine and adnexal malignancies 12
Eric L. Eisenhauer and Yukio Sonoda
4 Laparoscopic and robotic staging procedures for gynecologic malignancies 44
Mario M. Leitao Jr. and Yukio Sonoda
5 Extraperitoneal lymph node dissection 74
Yukio Sonoda, Cherif Y. Akladios, Denis Querleu, and Eric Leblanc
6 Pelvic lymphadenectomy 83
David Cibula and Nadeem R. Abu-Rustum
7 Retroperitoneal lymph node dissection 88
Oliver Zivanovic, Nadeem R. Abu-Rustum, and Joel Sheinfeld
8 Radical abdominal hysterectomy type B 95
Francesco Raspagliesi, Antonino Ditto, and Fabio Martinelli
9 Type C1 and C2 radical hysterectomy 109
David Cibula
10 Laterally extended parametrectomy 116
László Pálfalvi and László Ungár
11 Nerve-sparing radical hysterectomy 121
Shingo Fujii

12 Laparoscopically assisted vaginal radical hysterectomy 130
Michel Roy, Marie Plante, and Marie-Claude Renaud
13 Radical vaginal trachelectomy 142
Marie Plante, Marie-Claude Renaud, Yukio Sonoda, and Michel Roy
14 Fertility-sparing radical abdominal trachelectomy for cervical cancer 157
Sharyn N. Lewin, László Ungár, and Nadeem R. Abu-Rustum
15 Laparoscopic radical hysterectomy 164
Masaaki Andou, Hiroyuki Kanao, Yoshiaki Ota, and Tomonori Hada
16 Robot-assisted laparoscopic radical hysterectomy 177
Mario M. Leitao Jr. and M. Bilal Sert
17 Robotic radical trachelectomy 190
Ginger J. Gardner and Mario M. Leitao Jr.
18 Panniculectomy to facilitate pelvic surgery 200
Eric L. Eisenhauer, Babak J. Mehrara, and Nadeem R. Abu-Rustum
II Ultraradical Procedures
19 Pelvic exenteration 205
Vaagn Andikyan, Fady Khoury-Collado, Bernard H. Bochner, and Dennis S. Chi
20 Extended pelvic resections and laterally extended endopelvic resections 221
Vaagn Andikyan, Fady Khoury-Collado, Patrick J. Boland, and Dennis S. Chi
21 Myocutaneous neovaginal reconstruction 229
Anuja K. Antony, Douglas A. Levine, and Babak J. Mehrara
22 Urinary diversion: Conduit 237
Fady Khoury-Collado, Vaagn Andikyan, and Bernard H. Bochner
23 Continent urinary diversion 244
Pierluigi Benedetti-Panici, Violante Di Donato, Chiara Di Tucci, Innocenza Palaia,
and Roberto Angioli
24 Urinary diversion: Neobladder 265
Luis M. Chiva and Fernando M. Lapuente
III Peritoneal and Ovarian Procedures
25 Surgical staging for ovarian and tubal cancer 276
Ali Ayhan, Polat Dursun, and Murat Gültekin
26 Surgical cytoreduction 289
Jalid Sehouli, Eric L. Eisenhauer, Mario M. Leitao Jr., and Dennis S. Chi
27 Peritonectomy for mucinous neoplasms 328
James D. Smith and Garrett M. Nash
28 Heated intraperitoneal chemotherapy 335
Jula Veerapong, Patricia Gramling-Babb, and C. William Helm

ix
29 Laparoscopic intraperitoneal catheter placement 342
Christopher S. Awtrey and Nadeem R. Abu-Rustum
30 Chest tube placement and video-assisted thoracoscopic surgery 351
Siobhan M. Kehoe and Raja M. Flores
31 Hand-assisted laparoscopic splenectomy 361
John P. Diaz and Dennis S. Chi
32 Single-incision laparoscopic surgery 365
Douglas A. Levine
IV Vulvar Procedures
33 Surgery for carcinoma of the vulva 372
Ginger J. Gardner, Elizabeth L. Jewell, and Mary L. Gemignani
34 Sentinel node mapping and groin dissection 389
Maaike H.M. Oonk and Ate G.J. van der Zee
V Related Surgical Procedures
35 Paracentesis 396
Douglas A. Levine
36 Percutaneous endoscopic gastrostomy tube placement 403
Mark Schattner and Moshe Shike
37 Central venous catheter placement 409
Michelle Montemarano and Douglas A. Levine
38 Mediport placement 415
Anne M. Covey and George I. Getrajdman
39 Brachytherapy 422
Marisa A. Kollmeier, Gil’ad N. Cohen, and Kaled M. Alektiar
40 Cystourethroscopy and ureteral catherization 440
Siobhan M. Kehoe and Nadeem R. Abu-Rustum
Index 443

Patients with vulvar cancer not suitable for sentinel
node detection undergo inguinofemoral lymphadenectomy
as part of their primary treatment when the
tumor depth of invasion is more than 1 mm. These
patients frequently experience wound breakdown,
lymphedema, and recurrent erysipelas. Depending
on the localization of the tumor in relation to the midline,
a unilateral or bilateral lymphadenectomy is
performed. Because a superfi cial, inguinal lymphadenectomy
alone has shown to be associated with a
higher groin recurrence rate, it is advised to perform
a full, inguinofemoral lymphadenectomy (5,6). Preservation
of the saphena vein is thought to reduce the
morbidity that is associated with this surgical procedure
(7,8). The inguinofemoral lymphadenectomy