Surgery and radiotherapy are both regarded as standard treatments for occult cervical cancers. Surgery has several theoretical advantages over radiotherapy; therefore, such cancers, especially in their early stages, are commonly treated with radical parametrectomy. However, postoperative bladder dysfunction is an important potential complication of this type of surgery. This is a case report of total laparoscopic nerve-sparing radical parametrectomy for an occult cervical cancer using our original surgical concept based on detailed anatomical investigation of pelvic nerve networks in a fresh cadaver. We evaluated the validity of our nerve-sparing technique by assessing postoperative bladder function using urodynamic studies.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1159/000381545 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The prognosis of stage IA cervical cancer: Subgroup analysis of the SCCAN study.
Gynecol Oncol
December 2024
Gynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital (Central and Eastern European Gynecologic Oncology Group, CEEGOG), Prague, Czech Republic. Electronic address:
Article Synopsis
- People with T1a cervical cancer usually do well, but there's still a chance their cancer might come back, and doctors need better guidance on how to manage this.
- A study looked at over 900 patients from different hospitals to find out more about the chances of cancer returning after surgery.
- The study found that only 4.1% of patients had their cancer return, and it happened more often in certain groups, showing that certain things like lymphovascular space invasion (LVSI) can change the risk.
History and Perspectives of Hyperradical, Laterally Extended Parametrectomy (LEP).
Ann Surg Oncol
October 2024
Semmelweis University, Budapest, Hungary.
Cervical cancer has been and still is a major global health problem and a major treatment challenge for which surgical interventions have played a key role throughout the past century. In early stages (I/A2-II/B), where high-risk factors are not present, the efficacy of surgical and radiotherapy treatment has been considered equivalent with different (treatment modality specific) complications and quality of life consequences. Negative prognostic factors in early stages of the disease (pelvic lymph-node positivity) and in more advanced stages (parametrial and/or surgical margins' tumor involvement) forecast the deterioration of outlooks for good life expectancy.
View Article and Find Full Text PDFRadical Hysterectomy in Early-Stage Cervical Cancer: Abandoning the One-Fits-All Concept.
J Pers Med
August 2023
Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, Italy.
Two pillars in modern oncology are treatment personalization and the reduction in treatment-related morbidity. For decades, the one-fits-all concept of radical hysterectomy has been the cornerstone of early-stage cervical cancer surgical treatment. However, no agreement exists about the prevalent method of parametrial invasion, and the literature is conflicting regarding the extent of parametrectomy needed to achieve adequate surgical radicality.
View Article and Find Full Text PDFA prospective analysis of a retrospective data of patients with cervix carcinoma treated by minimal invasive surgery at high-volume gynecology oncology center analyzing that minimal access surgery is an acceptable treatment modality in cervix carcinoma. The study included 423 patients who underwent laparoscopic/robotic radical hysterectomy after pre-operative evaluation after taking their consent and obtaining ethical approval from the IRB. Post-operatively, patients were followed up at regular intervals for clinical examination and ultrasonography for a median range of 36 months.
View Article and Find Full Text PDFTwenty years of experience with less radical fertility-sparing surgery in early-stage cervical cancer: Pregnancy outcomes.
Gynecol Oncol
July 2023
3(rd) Medical Faculty, Charles University in Prague, Department of Obstetrics & Gynaecology, Czech Republic; Faculty of Medicine in Plzeň, Charles University, Department of Obstetrics & Gynaecology, Czech Republic.
Introduction: The standard procedure in cervical cancer is radical hysterectomy and pelvic lymphadenectomy (PLND). Because of the increasing age of women bearing children, fertility has become a major challenge. We present pregnancy results after less radical fertility-sparing surgery in women with IA1, LVSI positive, IA2 and IB1 (<2 cm, infiltration less than half of the cervical stroma).
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!