Laparoscopy in uterine cervical cancer. Current state and literature review

Abstract

ABSTRACT ABSTRACT ABSTRACTCervical 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 fertilitypreserving 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.

Perfil Sociodemográfico E Clínico De Mulheres Com Câncer No Trato Genital Submetidas À Radioterapia

“…Cabe destacar que, dentre os cânceres do trato genital, o câncer do colo do útero foi o mais frequente na população estudada, sendo que nos estádios avançados, a radioterapia é uma das terapêuticas de eleição (17) . Assim, justifica-se o número de atendimentos no cenário do estudo, relacionado à exclusividade do tratamento por braquiterapia no Estado de Santa Catarina até o ano 2016 ao cenário do estudo.…”

The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review

“…Five studies reported, in addition to data related to voiding dysfunction, female sexual dysfunction. 9 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Only five studies used validated questionnaires in their data collections, the rest used standardized instruments in their respective collection fields ( Charts 1 and 2 ). The studies had a variation in patient follow-up from 3 months to 9 years.…”

Indicação de histerectomia em pacientes acometidas com câncer cervical

“…Conforme observado no quadro 1, o estudo em questão demonstrou que a histerectomia é um método de escolha quando o câncer do colo uterino se encontra avançado ou quando os outros métodos de tratamento não obtiveram o sucesso esperado. Ainda há controvérsias na literatura referente ao momento exato para a realização do procedimento, tendo em vista que alguns autores defendem a idéia de que o procedimento seja realizado nos estágios iniciais da doença (Tsunoda et al, 2015;Oliveira et al, 2021;Naumann 2020).…”