Laparoscopy in uterine cervical cancer. Current state and literature review

Revista do Colégio Brasileiro de Cirurgiões

Audrey Tieko Tsunoda¹  Carlos Eduardo Mattos Da Cunha Andrade¹  Marcelo Andrade Vieira¹  Ricardo Dos Reis¹ 

关键词: Colonic Neoplasms;    Laparoscopy;    Neoplasm Staging;    Therapeutics;    Hysterectomy;    Lymph Node Excision;    Neoplasias do Colo;    Laparoscopia;    Estadiamento de Neoplasias;    Terapêutica;    Histerectomia;    Excisão de Linfonodo;   

DOI  :  10.1590/0100-69912015005014

来源: SciELO

【 摘 要 】

Cervical cancer remains the most frequent gynecological tumor in Brazil and other developing countries. Minimally invasive techniques, especially laparoscopy, have been increasingly employed in such tumors. This article aims to describe the main applications of laparoscopy in the treatment and staging of cervical cancer. In the early stages, it is possible to provide a fertility-preserving surgery in the form of radical trachelectomy and, in a study protocol, the function-preserving surgery, avoiding parametrectomy and the associated morbidity. A fully laparoscopic radical hysterectomy is fairly standard in the literature and has the tendency to become the standard of care in early cases, for patients who want to bear no more children. In advanced stages, minimally invasive surgery can offer ovarian transposition, with intent to prevent actinic castration, without upsetting the time for the start of radiotherapy and chemotherapy. Staging laparoscopic surgery, including pelvic and para-aortic lymphadenectomy, has been the subject of studies, since it has the potential to modify the extension of radiotherapy depending on the extent of lymph node spread.

【 授权许可】

CC BY   
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