Surgical staging is essential in the management of patients with endometrial cancer apparently confined to the uterus. Minimally invasive surgery (MIS) with its conventional laparoscopic approach or more recently with laparoscopic-assisted robotics has become the standard of management with advantage in terms of blood loss, hospital stay and quality of life compared to laparotomy. The pelvic and paraaortic lymphadenectomy as part of the surgical staging is determinant of the prognosis and sets the pattern of adjuvant treatment and although it is still controversial in terms of its therapeutic value, it is feasible through MIS. The performance of the sentinel lymph node with lower intraoperative complications and postoperative morbidity can be considered as an alternative to lymphadenectomy, especially considering the additional value of detecting low volume metastatic lymph node disease ...

La presente investigación experimental titulado “INFLUENCIA DE LA CONCENTRACION DEL ALMIDÓN DE LA CORONTA DE MAÍZ Y EL TIEMPO DE COAGULACIÓN EN LA REMOCIÓN DE PLOMO EN SOLUCIONES ACUOSAS A NIVEL DE LABORATORIO”, el cual tiene como objetivo principal determinar la influencia de la concentración del almidón de la coronta de maíz y el tiempo de coagulación en la remoción de plomo en soluciones acuosas. Esto se logró determinar a partir de un diseño de arreglo factorial 2 x 4 con un Diseño Completamente al Azar (DCA), obteniendo 8 tratamientos con una repetición. Durante la investigación las variables fueron la concentración de coagulante de coronta de maíz amiláceo (500, 750, 1000 y 1250 ppm) y al tiempo de coagulación estudiado (2 y 4 minutos), para ello se preparó 20 litros de solución acuosa sintética de plomo cuya concentración fue de 2,0077 ppm, esta solució...

Minimally invasive surgery in the management of gynecologic malignancies has increased considerably in the last decade. The ability to perform minimally surgical procedures has revolutionized care and quality of life outcomes for patients. In this article, we review innovations in minimally invasive surgery and its applications are discussed as well as the experience at National Institute of Neoplasic Diseases of Peru in the treatment of cervical, endometrial and ovarian cancer.Keywords: Minimally invasive surgery, cancer of endometrium, cancer of uterine cervix, cancer of ovary, laparoscopy, robotic surgery, single-port laparoscopy.

Minimally invasive surgery in the management of gynecologic malignancies has increased considerably in the last decade. The ability to perform minimally surgical procedures has revolutionized care and quality of life outcomes for patients. In this article, we review innovations in minimally invasive surgery and its applications are discussed as well as the experience at National Institute of Neoplasic Diseases of Peru in the treatment of cervical, endometrial and ovarian cancer.Keywords: Minimally invasive surgery, cancer of endometrium, cancer of uterine cervix, cancer of ovary, laparoscopy, robotic surgery, single-port laparoscopy.

Objectives: To determine sentinel node (SN) detection feasibility and safety by using lymphatic mapping with 99m Tc dextran and injection of blue dye (patent blue) in patients with early cervical cáncer undergoing radical hysterectomy with bilateral pelvic lymphadenectomy. Design: Prospective study. Setting: Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru. Participants: Patients with early cervical cancer. Interventions: Between December 2003 and December 2006, 66 patients with early cervical cancer stages IA2 (n = 2), IB1 (n = 63) and IIA (n = 1) underwent sentinel lymph node detection with lymphoscintigraphy the day before operation and intraoperative lymphatic mapping with blue dye and gamma radiation detection probe. Surgical treatment was completed with radical hysterectomy and bilateral pelvic lymphadenectomy by laparotomy. Main outcome measures: Sentinel node detection...

Objectives: To determine sentinel node (SN) detection feasibility and safety by using lymphatic mapping with 99m Tc dextran and injection of blue dye (patent blue) in patients with early cervical cáncer undergoing radical hysterectomy with bilateral pelvic lymphadenectomy. Design: Prospective study. Setting: Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru. Participants: Patients with early cervical cancer. Interventions: Between December 2003 and December 2006, 66 patients with early cervical cancer stages IA2 (n = 2), IB1 (n = 63) and IIA (n = 1) underwent sentinel lymph node detection with lymphoscintigraphy the day before operation and intraoperative lymphatic mapping with blue dye and gamma radiation detection probe. Surgical treatment was completed with radical hysterectomy and bilateral pelvic lymphadenectomy by laparotomy. Main outcome measures: Sentinel node detection...