Modified Radical Hysterectomy: Morbidity and Mortality

Magrina, Javier F.; Goodrich, Martha A.; Weaver, Amy L.; Podratz, Karl C.

doi:10.1006/gyno.1995.0022

Cited by 100 publications

(47 citation statements)

References 3 publications

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“…No patient experienced ureter rupture or fistula. Mean duration of hospital stay was 7.9 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) days. Long duration of hospital stay was due to the fact that Foley catheters were removed from the patients on postoperative day 7 and that patients did not want to be discharged with Foley catheter inserted.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of outcomes between laparotomy and robotic technique for cervical cancer

2010

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We evaluated the results of patients who had undergone robotic-assisted radical hysterectomy or open radical hysterectomy for cervical cancer. The study included eight patients who had undergone robotic-assisted radical hysterectomy (group 1) and seven patients who had undergone radical hysterectomy (group 2). Demographic characteristics and operative results of all patients were compared. Body mass index, age, previous abdominal surgery, surgical procedure performed, total anesthesia duration, operation duration, intra- and postoperative complications, duration of hospital stay, and number of resected lymph nodes were recorded. Mean age of patients in the robotic surgery group was 47.8 years (38-56 years) and in the laparotomy group was 45.4 years (32-57 years). Body mass index was 33.2 kg/m² (24.8-40.2 kg/m²) in group 1 and 27.8 kg/m² (23.5-33.7 kg/m²) in group 2. Total duration of operation in group 1 and 2 was 233 min (185-321 min) and 210.8 min (134-310 min), respectively. Mean duration of hospital stay was 3.5 days (2-7 days) in group 1 and 9.5 days (6-11 days) in group 2. Mean number of resected lymph nodes was 23.6 (17-36) and 38.8 (22-59) in group 1 and 2, respectively. Robotic surgery was superior to laparotomy in terms of duration of hospital stay, estimated amount of blood loss, and number of complications. Operation duration was longer with robotic surgery compared with laparotomy, and rate of complications was higher with laparotomy. Although the number of patients in the present study is limited, the results are important since they represent the first data relating to robotic surgery in Turkey.

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Section: Discussionmentioning

confidence: 99%

“…The original procedure has been modified to reduce complications; however, there still exist serious complications and long healing duration associated with radical hysterectomy [13]. For this reason, treatment of cervix cancer now involves minimally invasive surgical approaches such as laparoscopy [14] and robotic surgery [9].…”

Section: Discussionmentioning

confidence: 99%

Comparison of outcomes between laparotomy and robotic technique for cervical cancer

2010

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“…Major blood loss (over 2000 ml) was seen in two out of five cases (40%) in the CRH group, while it was seen in 19 out of 209 cases (9.1%) in the nonpregnant RH group. Thus, any surgical modifications made in an attempt to reduce the blood loss in CRH are valuable, although literature addressing the surgical procedure for RH is limited [10].…”

Section: Discussionmentioning

confidence: 99%

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

2010

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“…Although the anatomical concept of the parametrium has recently been discussed (4,5), parametrectomy remains an integral part of surgical treatment and defines the radicality of hysterectomy (1). Parametrium involvement (PI) is low in the early stages of cervical cancer (6)(7)(8) affecting only 8% of women with negative pelvic lymph nodes in early-stage (9)(10)(11). However, parametrectomy is the most difficult step of radical hysterectomy and the main source of complications: severe perioperative complications occurred in 10-15% of patients and late urologic and rectal dysfunctions related to nerve injury in 20-30% raising the issue of its legitimacy (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Clues pointing to simple hysterectomy to treat early-stage cervical cancer

Coutant

Cordier²,

Guillo³

et al. 2009

Oncol Rep

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Abstract. Radical hysterectomy and pelvic lymphadenectomy is recommended for stage Ia2-Ib1 cervical cancer while parametrial involvement (PI) is rare. Our aim was to evaluate criteria to select women with low risk of PI that could benefit from simple hysterectomy. Factors associated with low risk of PI were analyzed in a series of 37 patients with stage Ia2-Ib1 cervical cancer undergoing radical hysterectomy and sentinel lymph node procedure from 2003 to 2008. PI was associated with tumor size (p<0.001) and lymphovascular space invasion (LVSI) (p=0.007). PI was found in 4.5% of patients with tumor size ≤2 cm versus 33% with tumor size >2 cm (p=0.04). The negative predictive value was 100% for absence of LVSI (95% CI: 0.83-1) and for combinations: tumor size ≤2 cm and SN negative (95% CI: 1-1), tumor size ≤2 cm and no LVSI (95% CI: 0.86-1), tumor size ≤2 cm and tumor grade 1-2 and no LVSI (95% CI: 0.82-1), and tumor size ≤2 cm and PLN negative and no LVSI (95% CI: 0.83-1). Among various combinations, a tumor size ≤2 cm and absence of LVSI appears the most relevant to predict parametrial status.

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Modified Radical Hysterectomy: Morbidity and Mortality

Cited by 100 publications

References 3 publications

Comparison of outcomes between laparotomy and robotic technique for cervical cancer

Comparison of outcomes between laparotomy and robotic technique for cervical cancer

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

Clues pointing to simple hysterectomy to treat early-stage cervical cancer

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