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

Kanao, Hiroyuki; Fujiwara, Kazuko; Ebisawa, K.; Hada, Toshikazu; Ota, Yoshiaki; Andou, M.

doi:10.1159/000381545

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…And the common short-term complications included urinary tract infection, lymphocyst, urinary retention, perineal and lower-extremity edema, and surgical wound infection, while the common distant-term complications included urinary dysfunction, bowel dysfunction, and pelvic organ prolapse. These common postoperative adverse events were similar in general to those described in previous studies [ 37 , 38 ]. The result of this study showed high incidence rates of injury to adjacent tissues and short-term complications, most of which occurred before 2015.…”

Section: Discussionsupporting

confidence: 89%

Complications of radical hysterectomy with pelvic lymph node dissection for cervical cancer: a 10-year single-centre clinical observational study

Huang

Yuan

et al. 2022

BMC Cancer

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Background and purpose The complications of radical surgery for cervical cancer can increase patient suffering and affect their quality of life. This retrospective study assessed the safety of radical hysterectomy (RH) with pelvic lymph node dissection (PLND) by observing the complications of patients with cervical cancer who underwent this procedure in a single centre over 10 years. Our findings may provide experience and evidence for preventing and reducing complications. Methods A total of 2226 cervical cancer patients who met the inclusion criteria were enrolled. All patients underwent RH + PLND. Intraoperative injury to adjacent tissues and short-term and long-term complications were recorded to analyze factors associated with the occurrence of complications. Results Postoperative complications occurred in 34.41% (766/2226) of patients, including 7.68% of patients with injury to adjacent tissues, 31.45% with short-term complications, and 2.96% with long-term complications. Age, tumor size, invasion depth, parametrial invasion, lymph vascular space invasion (LVSI), lymph node metastasis, International Federation of Gynaecology and Obstetrics (FIGO) stage, and surgical procedure were closely associated with the postoperative complications of RH + PLND (P < 0.05). Conclusions The results of this study showed that RH + PLND for cervical cancer is safe and practical. Patients aged 40–60 years, with tumors ≥ 4 cm, invasion depth ≥ 2/3, parametrial invasion, LVSI, lymph node metastasis, FIGO stage > IB2, and who underwent open surgery were more prone to complications.

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Section: Discussionsupporting

confidence: 89%

Complications of radical hysterectomy with pelvic lymph node dissection for cervical cancer: a 10-year single-centre clinical observational study

Huang

Yuan

et al. 2022

BMC Cancer

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“…Since that initial report, several other groups have published their experiences supporting the feasibility and safety of the procedure. Minimally invasive surgery is a good alternative option for doing radical surgery and is highly feasible in early-stage cervical cancer [2,3]. Laparoscopic surgery, performed under specific situations, is susceptible to complications, especially for surgeons in the early stages of their learning curve [4,5].…”

Section: Introductionmentioning

confidence: 99%

Utility of an Internal Retractor (EndoGrab) for the Management of the Vesicouterine Ligament during Laparoscopic Radical Hysterectomy

Kobayashi

Kakuda²,

Tanaka³

et al. 2016

Gynecol Obstet Invest

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Background/Aims: The study aims to prevent serious urologic injury during a radical hysterectomy; we propose that one of the most important procedural steps is the careful management of the vesicouterine ligament (VUL). Patients and Methods: Between January 2013 and October 2014, we used a novel internal retractor in 17 patients undergoing a laparoscopic radical hysterectomy (LRH) for early-stage cervical cancer to obtain and secure a better surgical view. For management of the VUL during the laparoscopic procedure, we routinely used an internal retractor (EndoGrab; Virtual Ports, Misgav, Israel) and vessel tape to reposition the ureter in a safe lateral-caudal direction. Results: Using an EndoGrab, we were easily able to reproduce a suitable surgical view that simulated the one obtained by an abdominal route for radical hysterectomy. Using this improved laparoscopic procedure, we completed radical hysterectomies in all 17 cases without a ureteral injury complication. Conclusion: Our modified method using an EndoGrab is effective for the prevention of ureteral injury during a LRH, and its ease of use makes it suitable even for those surgeons early in their laparoscopic learning curve.

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Key Anatomical Concepts, Landmarks, and Proposed Terminology for Nerve-Sparing Gynecologic Surgery: A Narrative Review

Kobylianskii,

Thiel,

McGrattan

et al. 2024

Journal of Minimally Invasive Gynecology

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

Cited by 3 publications

References 16 publications

Complications of radical hysterectomy with pelvic lymph node dissection for cervical cancer: a 10-year single-centre clinical observational study

Complications of radical hysterectomy with pelvic lymph node dissection for cervical cancer: a 10-year single-centre clinical observational study

Utility of an Internal Retractor (EndoGrab) for the Management of the Vesicouterine Ligament during Laparoscopic Radical Hysterectomy

Key Anatomical Concepts, Landmarks, and Proposed Terminology for Nerve-Sparing Gynecologic Surgery: A Narrative Review

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