Publications by authors named "Marcelo Andrade Vieira"
Objective: Several controversies remain on conservative management of cervical cancer. Our aim was to develop a consensus recommendation on important and novel topics of fertility-sparing treatment of cervical cancer.
Methods: The consensus was sponsored by the Brazilian Society of Surgical Oncology (BSSO) from March 2020 to September 2020 and included a multidisciplinary team of 55 specialists.
Article Synopsis
- - Cervical cancer is the most common gynecological cancer in Brazil and many developing countries, and laparoscopy is becoming a popular treatment option.
- - Laparoscopy allows for fertility-preserving surgeries in early-stage cases and is moving towards being the standard treatment for those not wishing to have more children.
- - In advanced cases, minimally invasive surgery can help position the ovaries to avoid radiation damage while also aiding in accurate cancer staging through lymphadenectomy to adjust radiotherapy plans.
Laparoscopic Vaginal-Assisted Nerve-Sparing Radical Trachelectomy.
J Minim Invasive Gynecol
September 2016
Study Objective: To demonstrate a laparoscopic vaginal-assisted nerve-sparing radical trachelectomy.
Design: An edited educational video, including a step-by-step description of the procedure.
Setting: Radical trachelectomy is the main surgical indication for selected cases of initial cervical cancer with a fertility-sparing approach.
Perioperative morbidity and rate of upstaging after laparoscopic staging for patients with locally advanced cervical cancer: results of a prospective randomized trial.
Am J Obstet Gynecol
October 2015
Objective: The International Federation of Gynecology and Obstetrics (FIGO) staging for cervical cancer is based on clinical examination. Previous studies have demonstrated significant upstaging with surgical staging. However, no randomized trial has ever shown a survival benefit when radiation combined with chemoradiation (RCTX) is modified according to surgical staging.
View Article and Find Full Text PDF