Radical Gynecologic Surgery for Cancer

Hughes, Sarah; Steller, Michael A.

doi:10.1016/j.soc.2005.04.004

Cited by 2 publications

(5 citation statements)

References 69 publications

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“…Our median tumoral size was similar in all the periods,bigger than 2 cm,which represents an important prognostic factor in cervical cancer [ 1 , 2 , 3 , 4 , 23 ] . However,its value is controversial for other authors [ 24 ] .…”

Section: Discussionmentioning

confidence: 77%

“…Radical hysterectomy (RH) remains as the preferred surgical option for the management of early stage cervical cancer [ 1 , 2 , 3 ] . Other indications include recurrence after radiation therapy,selected patients with upper vaginal carcinoma and other rare malignancies of the cervix [ 1 , 2 ] . The goal of this surgery is to remove the tumor with free margins,to identify and to remove possible nodal metastases in order to plan the most appropriate adjuvant treatment [ 4 ] .…”

Section: Introductionmentioning

confidence: 99%

“…The first surgical approach to RH [abdominal RH,(ARH)] was made by Osiander and colleagues in the nineteenth century [ 1 ] . Although it is known that the first truly RH for cervical cancer was performed by John Clark in 1895,this surgery is mostly linked to Ernst Wherteim,due to his report on 500 radical hysterectomies and partial lymphadenectomies performed from 1898 to 1911 [ 1 , 5 , 6 ] . After that,Shauta described the first vaginal RH and Meigs established this surgery as the treatment of choice incorporating complete pelvic lymphadenectomy [ 1 , 5 ] .…”

Section: Introductionmentioning

confidence: 99%

“…Although it is known that the first truly RH for cervical cancer was performed by John Clark in 1895,this surgery is mostly linked to Ernst Wherteim,due to his report on 500 radical hysterectomies and partial lymphadenectomies performed from 1898 to 1911 [ 1 , 5 , 6 ] . After that,Shauta described the first vaginal RH and Meigs established this surgery as the treatment of choice incorporating complete pelvic lymphadenectomy [ 1 , 5 ] . With the introduction of laparoscopy,Dargent reported in 1987 the first laparoscopic assisted vaginal RH (LAVRH).…”

Section: Introductionmentioning

confidence: 99%

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Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience

Arispe

Pomares

Santiago

2016

Chinese Journal of Cancer Research

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Background:The radical hysterectomy (RH) surgical technique has improved along the years. It is used for the treatment of cervical cancer, endometrial cancer when affecting the cervix, and upper vaginal carcinomas. Our aim was to describe the historical evolution of the technique after the introduction of laparoscopy at our institution. Methods:We performed a retrospective review of medical records of patients who underwent RH, grouped in three periods according to the year of surgery: 1990-1999, 2000-2009 and 2010-2013. Patients?characteristics, pathologic details, intraoperative and postoperative complications were analyzed and compared throughout the time periods. Results:A total of 102 cases of RH were performed at our center during the study period. Among all data collected, the presence of necrosis, age, number of lymph nodes, surgery route, operating time, hospital stay, blood loss and transfusion requirement were statistically significant different among groups. Conversion to laparotomy rate was 19% for the second period compared to the absence of cases in the last one. No significant differences (P=0.124) were observed in the adjuvant treatment received among the three different groups. At the time of the last contact the patients free of disease were 12 (85.7%), 53 (91.3%) and 26 (86.6%) respectively (P=0.406). Regarding the disease-free interval, we found significant better outcomes in the group of laparotomy compared to laparoscopy (P=0.015). Conclusions:Laparoscopic RH is an acceptable surgery with advantages like magnified vision of the operation抯 field, lower surgical complications, shorter hospital stay and earlier resumption to daily activities.

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Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience

Arispe

Pomares

Santiago

2016

Chinese Journal of Cancer Research

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show abstract

“…The above-mentioned most often concerns patients with IVA stage carcinoma, according to FIGO (infiltration of the upper urethra, rectal and urinary bladder mucous membrane). Another condition when pelvic exenteration should be considered is the recurrence of vulvar carcinoma following its previous radical excision (16).…”

mentioning

confidence: 99%

Exenterative Pelvic Surgery in the Treatment of Female Genital Organ Malignancies

Wojtasik¹,

Kładny²

2008

Polish Journal of Surgery

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Radical Gynecologic Surgery for Cancer

Cited by 2 publications

References 69 publications

Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience

Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience

Exenterative Pelvic Surgery in the Treatment of Female Genital Organ Malignancies

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