Laparoscopic radical hysterectomy with paraaortic and pelvic node dissection

Nezhat, Camran; Burrell, Matthew O.; Nezhat, Farr; Benigno, Benedict B.; Welander, Charles E.

doi:10.1016/0002-9378(92)91351-a

Cited by 435 publications

(175 citation statements)

References 2 publications

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“…Since the first laparoscopic radical hysterectomy was reported by Nezhat, et al [12][13][14][15][16] in 1989 for the treatment of cervical cancer, the feasibility and efficacy of this procedure have been supported in both minimally invasive gynecology and gynecologic oncology literature [24][25][26].…”

Section: Discussionmentioning

confidence: 99%

Use of laparoscopic modified nerve-sparing radical hysterectomy for the treatment of extensive endometriosis

Nezhat¹,

Xie²,

Aldape³

et al. 2014

Cureus

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Section: Discussionmentioning

confidence: 99%

Use of laparoscopic modified nerve-sparing radical hysterectomy for the treatment of extensive endometriosis

Nezhat¹,

Xie²,

Aldape³

et al. 2014

Cureus

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“…Earlier research studies published information on both the feasibility and technique of radical hysterectomy with pelvic and para-aortic lymphadenectomy. [32][33][34][35] These helped set the foundation for the possibility of full and comprehensive surgical staging using an MIS approach. Of note, laparoscopic intervention would not get its introduction into the field of gynecologic endometrial cancer until the earlier part of the 1990s.…”

Section: History Of Laparoscopy In Management and Staging Of Endometrmentioning

confidence: 99%

Robotic Surgery in the Management of Endometrial Cancer

Williams¹,

Villeneuve²,

Robinson-Bennett³

2016

Gynecologic Cancers - Basic Sciences, Clinical and Therapeutic Perspectives

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Endometrial cancer remains the most common gynecologic malignancy in the Unites States and Western Europe. It has been estimated that in 2014, about 52, 630 new cases of endometrial cancer was diagnosed and about 8,590 died from the disease. Prior to 1988, endometrial cancer was staged clinically. Since that time surgical staging has been adopted. With the advancement in technology, the vast majority of cases are being staged and treated surgically via minimally invasive approaches. Conventional laparoscopy has been a major advancement in staging and treatment of uterine cancers. However, technical challenges such as 2-D imaging, rigid instruments, and lack of precision and surgeon fatigue did not translate into widespread adoption of this technique. With the advent of computer-enhanced robotic telesurgery, this has dramatically changed the surgical management and staging of endometrial cancer.

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“…This technique, described for the first time Wertheim, Meigs subsequently underwent some changes. The first laparoscopic hysterectomy was performed and published in 1989 [1], but the first laparoscopic radical hysterectomy with pelvic and paraaortic lymphadenectomy in a patient with cervical cancer stage IA2 was performed by Nezha et al in June 1989 and reported in 1992 [2]. Since then, it has been reported in the literature over 1000 cases [3].…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Surgery: A New Approach for Uterine Cervical Cancer

Gavrilescu¹,

Todosi²,

Ioanid³

et al. 2015

Surgery

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IntroductionIn the early 1990s, the laparoscopic approach in uterine cervical cancer has started to become quite popular among oncologist surgeons in order to minimize postoperative morbidity. When a new surgical technique is taken into consideration or suggested, it is compared with the standard therapy hitherto. Important issues to be taken into account include the feasibility and applicability of the new technique, intraoperative and postoperative complications and in oncological cases, survival and risk of recurrence.Gold standard for uterine cervical cancer in the early stages was abdominal radical hysterectomy with pelvic lymphadenectomy for more than 100 years. This technique, described for the first time Wertheim, Meigs subsequently underwent some changes. The first laparoscopic hysterectomy was performed and published in 1989 [1], but the first laparoscopic radical hysterectomy with pelvic and paraaortic lymphadenectomy in a patient with cervical cancer stage IA2 was performed by Nezha et al. in June 1989 and reported in 1992 [2]. Since then, it has been reported in the literature over 1000 cases [3]. Laparoscopic Surgery versus Open Surgery in Uterine Cervical CancerInitially used for diagnostic, laparoscopy has become a method of treatment in the field of gynecological surgery, but also in many other field. The results of laparoscopic surgery are now comparable with those obtained by laparotomy in benign and malignant pathologies. The most important advantages of the laparoscopic technique include more pleasing cosmetic appearance, or minimum parietal infectious complications, low incidence of adhesion formation, low cost associated with hospitalization and recovery period smaller resumption of daily activities in a shorter period [4]. In a study comparing the two surgical techniques, the results show an average of operating time with significant differences statistically 231.7 minutes for cases treated laparoscopically and 207 minutes to classical surgery, which can be explained by the fact that laparoscopic hysterectomies implemented quite recently requires a learning curve. The surgeons will become more familiar with laparoscopic procedure; the operative time is expected to become shorter. Intraoperative blood loss was lower in the laparoscopy (161.1 ml) compared with the traditional method (394.4 ml), with blood transfusions in 3 patients. Postoperative complications, represented mostly wound infections were recorded only in the group that received radical abdominal hysterectomy. The hospital stay was less in laparoscopic interventions (mean=2.9 days) compared with the second procedure (mean=5. A randomized, multicenter study including 116 patients demonstrated that laparoscopic assisted vaginal hysterectomy can be performed in a similar operating time classic surgery with intraoperative blood loss less and a relatively shorter period of hospitalization (p<0.01). Postoperative pain, another important parameter discussed, is lower for the first 3 days of laparoscopy versus open surgery (p<0.5) [7]....

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Laparoscopic radical hysterectomy with paraaortic and pelvic node dissection

Cited by 435 publications

References 2 publications

Use of laparoscopic modified nerve-sparing radical hysterectomy for the treatment of extensive endometriosis

Use of laparoscopic modified nerve-sparing radical hysterectomy for the treatment of extensive endometriosis

Robotic Surgery in the Management of Endometrial Cancer

Minimally Invasive Surgery: A New Approach for Uterine Cervical Cancer

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