Laparoscopic nerve-sparing radical hysterectomy with fascia space dissection technique for cervical cancer: Description of technique and outcomes

Liang, Zhiqing; Chen, Yong; Xu, Huilin; Li, Yuyan; Wang, Dan

doi:10.1016/j.ygyno.2010.06.033

Cited by 52 publications

(57 citation statements)

References 30 publications

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“…So except for prolong the survival period, more work need to do for improving the quality of life. With the development of the technology, the magnified view of laparoscopes has allowed a clearer visualization of structures such as nervous branches, thus favoring the adoption of nervesparing techniques, during radical procedures (Liang et al, 2010;Park et al, 2011). Beneficial effects of the nerve-sparing operation technique, compared with non-nerve-sparing procedures, have been reported on sexual functioning, bladder function, and bowel function (Sakuragi et al, 2005;Todo et al, 2006;Pieterse et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Effect of Laparoscopic Nerve-sparing Radical Hysterectomy on Bladder Function, Intestinal Function Recovery and Quality of Sexual Life in Patients with Cervical Carcinoma

Chen

Zhang²,

Zhang³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Objective: To investigate bladder and intestinal function recovery and quality of sexual life after laparoscopic nerve-sparing radical hysterectomy (LNRH) for treatment of early invasive cervical carcinoma. Methods: Subjects included patients who underwent radical hysterectomy by laparotomy who were randomly assigned to 2 groups: 30 patients who underwent LNRH and 35 classical laparoscopic radical hysterectomy (LRH). We assessed the patients general clinical information, surgical characteristics, pathological findings, and adjuvant therapies. A urodynamic study was used to assess bladder function. Intestinal function recovery and quality of sexual life were evaluated by questionnaire. Results: No significant differences were found in age, surgery characteristics, pathological findings, adjuvant therapies, and main adverse effects between the 2 groups. The mean duration of the postoperative catheterization (DPC) in group LNRH was shorter than that in group LRH (P < 0.001). The maximum flow rate, maximum cystometric capacity , maximum detrusor pressure and urinary complications in group LNRH were better than those in group LRH. The quality of sexual life evaluated according to the female sexual function index (FSFI) was better in group LNRH than in those who underwent LRH. The intestinal function of patients in group LNRH also recovered better compared with patients in group LRH.

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Section: Introductionmentioning

confidence: 99%

Effect of Laparoscopic Nerve-sparing Radical Hysterectomy on Bladder Function, Intestinal Function Recovery and Quality of Sexual Life in Patients with Cervical Carcinoma

Chen

Zhang²,

Zhang³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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“…In this procedure, a classic radical hysterectomy is performed, but the hypogastric nerve is preserved with the pelvic nerve plexus and its vesical branches [5,6]. Consequently, the hypogastric nerve, which marks the upper limit of the pelvic nerve networks, is regarded as the main anatomical landmark for nerve-sparing radical hysterectomy.…”

Section: Introductionmentioning

confidence: 99%

Total Laparoscopic Nerve-Sparing Radical Parametrectomy for Occult Early-Stage Cervical Cancer: Surgical Technique and Postoperative Bladder Function

Kanao

Fujiwara²,

Ebisawa³

et al. 2015

Gynecol Obstet Invest

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Surgery and radiotherapy are both regarded as standard treatments for occult cervical cancers. Surgery has several theoretical advantages over radiotherapy; therefore, such cancers, especially in their early stages, are commonly treated with radical parametrectomy. However, postoperative bladder dysfunction is an important potential complication of this type of surgery. This is a case report of total laparoscopic nerve-sparing radical parametrectomy for an occult cervical cancer using our original surgical concept based on detailed anatomical investigation of pelvic nerve networks in a fresh cadaver. We evaluated the validity of our nerve-sparing technique by assessing postoperative bladder function using urodynamic studies.

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“…In contrast, during the radical nerve-sparing procedure, the hypogastric nerves are sacrificed and the pelvic nerve plexus is partially preserved to attain more radicality than with the conventional nervesparing procedure. Therefore, the denudation of pelvic splanchnic nerves is necessary (14,15).…”

Section: Pelvic Neuroanatomy and Sites Of Injurymentioning

confidence: 99%

“…The hypogastric nerves constitute the main anatomical landmark of NSRH because they form the upper limit of the pelvic nerve plexus and the vesical branches (14,15).…”

Section: Nerve-sparing Radical Hysterectomy -Technical Aspectsmentioning

confidence: 99%

Nerve-Sparing radical hysterectomy - An old Japanese concept

Bacalbaşa¹,

Lintoiu²

2016

JTMR

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Conventional radical hysterectomy, the main part of the standard surgical treatment in cervical cancer, causes damage to the pelvic autonomic nerves, thus leading to urinary, anorectal and sexual dysfunctions. Many researches have focused on surgical approaches that protect the pelvic nerves in order to decrease postoperative related morbidity. Nervesparing radical hysterectomy is a safe technique that improves the quality of life of patients who undergo cervical cancer surgery without compromising oncologic outcomes.

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Laparoscopic nerve-sparing radical hysterectomy with fascia space dissection technique for cervical cancer: Description of technique and outcomes

Cited by 52 publications

References 30 publications

Effect of Laparoscopic Nerve-sparing Radical Hysterectomy on Bladder Function, Intestinal Function Recovery and Quality of Sexual Life in Patients with Cervical Carcinoma

Effect of Laparoscopic Nerve-sparing Radical Hysterectomy on Bladder Function, Intestinal Function Recovery and Quality of Sexual Life in Patients with Cervical Carcinoma

Total Laparoscopic Nerve-Sparing Radical Parametrectomy for Occult Early-Stage Cervical Cancer: Surgical Technique and Postoperative Bladder Function

Nerve-Sparing radical hysterectomy - An old Japanese concept

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