Amputation of uterine corpus as the intraoperative modification during cesarean radical hysterectomy for invasive cervical cancer during pregnancy

Cesarean radical hysterectomy (cesarean-RH) is performed at the time of cesarean delivery for pregnant women with early-stage cervical cancer. 1 Cesarean-RH is a rare procedure and has been understudied; population statistics are lacking in the literature. This study examined the characteristics and perioperative outcomes of women with cervical cancer who underwent cesarean-RH. STUDY DESIGN: This is a population-based retrospective study that queried the Healthcare Cost and Utilization Project's National Inpatient Sample from 2007e2015. 2 The study start period of 2007 was chosen because of the distinction detailed surgical approaches for RH (abdominal vs other approaches). The study end period of 2015 was chosen because of the change in the International Classification of Disease coding schema. Cervical cancer cases that had both cesarean delivery and abdominal RH (cesarean-RH group) were compared with cases that had RH alone via laparotomy (open-RH; Supplemental Table). Characteristics associated with cesarean-RH and those associated with perioperative complications during the index admission for RH were assessed by fitting binary logistic regression models (conditional backward) in multivariable analyses. All analyses were based on the weighted model. 2

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Cesarean radical hysterectomy for cervical cancer in the United States: a national study of surgical outcomes

Matsuo

Mandelbaum

Matsuzaki

et al. 2020

American Journal of Obstetrics and Gynecology

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Locally advanced cervical cancer complicating pregnancy: A case of competing risks from the Catholic University of the Sacred Heart in Rome

Vincenzo

Tortorella

Ricci

et al. 2018

Gynecologic Oncology

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The Surgical Management of Cervical Cancer

Roque¹,

Wysham²,

Soper³

2014

Obstetrical &Amp; Gynecological Survey

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Radical hysterectomy with pelvic lymphadenectomy has evolved into the standard therapy for nonbulky disease, and there is a clear advantage in the use of minimally invasive techniques to perform these procedures. However, pending ongoing trials, less radical surgery in patients with low-risk invasive disease as well as sentinel lymph node mapping may emerge as standards of care in selected patients with cervical carcinoma.

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Amputation of uterine corpus as the intraoperative modification during cesarean radical hysterectomy for invasive cervical cancer during pregnancy

Abstract: Amputation of uterine corpus during CRH for invasive cervical cancer during pregnancy significantly improves the intraoperative performance, although it should be used with care.

Cited by 3 publications

References 11 publications

Cesarean radical hysterectomy for cervical cancer in the United States: a national study of surgical outcomes

Cesarean radical hysterectomy for cervical cancer in the United States: a national study of surgical outcomes

Locally advanced cervical cancer complicating pregnancy: A case of competing risks from the Catholic University of the Sacred Heart in Rome

The Surgical Management of Cervical Cancer

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