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laparoscopic trachelectomy

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https://www.readbyqxmd.com/read/28498240/simple-vaginal-trachelectomy-a-valuable-fertility-preserving-option-in-early-stage-cervical-cancer
#1
Marie Plante, Marie-Claude Renaud, Alexandra Sebastianelli, Jean Gregoire
OBJECTIVE: Radical trachelectomy is a valid alternative for the treatment of early-stage cervical cancer in young women who wish to preserve fertility potential. Recent data indicate that even less radical surgery could be performed in low-risk cases. The objective of our study was to evaluate the safety of simple vaginal trachelectomy and node assessment in patients with low-risk, early-stage cervical cancer (<2 cm). METHODS: From May 2007 to July 2016, 35 women underwent a simple vaginal trachelectomy with laparoscopic sentinel lymph node mapping + pelvic node dissection...
June 2017: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/28461178/four-surgical-approaches-to-cervical-excision-during-laparoscopic-radical-trachelectomy-for-early-cervical-cancer
#2
José Saadi, Lucas Minig, Florencia Noll, Gabriel Saraniti, José Miguel Cárdenas-Rebollo, Myriam Perrotta
A retrospective analysis was performed at the Gynecology Department of the Hospital Italiano de Buenos Aires in Buenos Aires, Argentina to compare clinical and oncologic outcomes of four different surgical approaches of cervical excision (CE) during radical trachelectomy (RT) for early cervical cancer. The study included 22 consecutive women who had undergone laparoscopic RT for early cervical cancer between May 2011 and July 2016 in our tertiary care hospital. Patients were divided into four groups according to their respective tumor pathologies and surgical approaches...
April 28, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28254504/robotic-assisted-laparoscopic-trachelectomy-a-standard-technique
#3
Mohamad S Mahmoud
STUDY OBJECTIVE: To describe a standard reproducible technique for simple robotic- assisted laparoscopic trachelectomy. DESIGN: Step-by-step demonstration of the technique using videos and pictures (Canadian Task Force classification level 3). SETTING: The incidence of trachelectomy after supracervical hysterectomy has been increasing, given the popularity of supracervical hysterectomy. The most common indication for trachelectomy is symptomatic cyclic bleeding...
February 27, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28187094/extraperitoneal-radical-trachelectomy-with-pelvic-lymphadenectomy-a-novel-fertility-preserving-option-for-early-stage-cervical-cancer-patients
#4
Seiji Mabuchi, Tadashi Kimura
OBJECTIVE: Radical trachelectomy combined with pelvic lymphadenectomy has been used to treat early stage cervical cancer patients who wish to preserve their fertility. Although vaginal, abdominal, laparoscopic, and robotic approaches have been used during this procedure, all of these approaches cause peritoneal damage, which could result in periadnexal adhesion. The aim of the present study was to introduce and discuss a novel fertility-preserving option, extraperitoneal radical trachelectomy with pelvic lymphadenectomy...
March 2017: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/27678850/laparoscopic-isthmocervical-cerclage-with-mersilene-tape-after-radical-vaginal-trachelectomy
#5
G G Gomes-Da-Silveira, S A Pessini, G P Silveira
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678600/laparoscopic-radical-trachelectomy-in-a-young-patient-with-early-cervical-cancer
#6
C-L Lee, K-G Huang, K-Y Wu, C-Y Huang, H-H Kuo
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27668200/surgical-and-obstetrical-outcomes-after-laparoscopic-radical-trachelectomy-and-pelvic-lymphadenectomy-for-early-cervical-cancer
#7
So-Eun Yoo, Kyeong A So, Seon-Ah Kim, Mi Kyung Kim, Yoo Kyung Lee, In-Ho Lee, Tae-Jin Kim, Ki Heon Lee
OBJECTIVE: The aim of this study was to evaluate the surgical and obstetrical outcomes of patients with early cervical cancer who underwent laparoscopic radical trachelectomy and pelvic lymphadenectomy. METHODS: We analyzed data from women who underwent laparoscopic radical trachelectomy and pelvic lymphadenectomy between July 2000 and October 2014. RESULTS: Of a total of 12 patients, 91.7% were FIGO (International Federation of Gynecology and Obstetrics) stages IA2 and IB1...
September 2016: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/27610199/simple-trachelectomy-during-pregnancy-for-cervical-cancer
#8
Estefania Moreno-Luna, Patricia Alonso, Javier De Santiago, Ignacio Zapardiel
Invasive cervical cancer is rare during a pregnancy, even though it is one of the most frequently diagnosed neoplasias during that time. It is noted that around 30% of women diagnosed with cervical cancer are of reproductive age. This means that up to 3% of cases of cervical cancer are found in pregnant women or those who are in the post-birth period. A cervicovaginal Pap smear is performed as part of the regular checkup for a pregnant woman during the first visit so that cervical cancer can easily be diagnosed early in these women, detecting it early in up to 70-80% of cases...
2016: Ecancermedicalscience
https://www.readbyqxmd.com/read/27574342/radical-vaginal-trachelectomy-with-laparoscopic-pelvic-lymphadenectomy-for-fertility-preservation-in-young-women-with-early-stage-cervical-cancer
#9
Elvira Brătilă, C P Brătilă, C B Coroleuca
The primary objective of this study was to describe our experience with the conservative treatment of early-stage cervical cancer (stages IA1, IA2, and IB1) with radical vaginal trachelectomy (RVT) and laparoscopic pelvic lymphadenectomy. This retrospective observational case series included 36 patients with early cervical cancer. Radical trachelectomy and laparoscopic pelvic lymphadenectomy were performed as described by D. Dargent in 32 of these cases. Oncologic, reproductive, and obstetric outcomes were observed subsequently over a median period of 42 (24-96) weeks...
August 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27544455/utility-of-indocyanine-green-icg-intra-operative-angiography-to-determine-uterine-vascular-perfusion-at-the-time-of-radical-trachelectomy
#10
Pedro F Escobar, Pedro T Ramirez, Rafael E Garcia Ocasio, Rene Pareja, Steve Zimberg, Michael Sprague, Michael Frumovitz
OBJECTIVES: The aim of our study was to measure and analyze uterine perfusion utilizing laser angiography with ICG during uterine artery sparing and non-sparing radical trachelectomy. METHODS: Data were collected from all patients diagnosed with early-stage cervical cancer that underwent laser angiography with ICG during open or laparoscopic radical trachelectomy from June 2012 to December 2015. Regression analysis was use to determine the p values and R-squares on fluorescence, surgical time, hospital stay, age and BMI; a p-value<0...
November 2016: Gynecologic Oncology
https://www.readbyqxmd.com/read/27466877/laparoscopic-hemi-hysterectomy-and-trachelectomy-in-a-case-of-herlyn-werner-wunderlich-syndrome
#11
Entidhar Al Sawah, Shayne M Plosker, Emad Mikhail
BACKGROUND: Herlyn-Werner-Wunderlich Syndrome (HWWS) is a rare Müllerian anomaly characterized by uterus didelphys coexisting with an obstructed hemivagina and ipsilateral renal agenesis. CASE: A 13-year-old female presented one-year after menarche with severe dysmenorrhea and a right-sided pelvic mass. Imaging identified a right uterus with hematometra, hematocolpos, absent right kidney, normal left kidney, ureter, left uterus, and vagina compressed to the left by right hematocolpos...
July 29, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27299280/oncological-outcomes-after-fertility-sparing-surgery-for-cervical-cancer-a-systematic-review
#12
REVIEW
Enrica Bentivegna, Sebastien Gouy, Amandine Maulard, Cyrus Chargari, Alexandra Leary, Philippe Morice
Fertility preservation in young patients with cervical cancer is suitable only for patients with good prognostic factors and disease amenable to surgery without adjuvant therapy. Consequently, it is only offered to patients with early-stage disease (stage IB tumours <4 cm), negative nodes, and non-aggressive histological subtypes. To determine whether fertility preservation is suitable, the first step is pelvic-node dissection to establish nodal spread. Tumour size (≤2 cm vs >2 cm) and lymphovascular space invasion status are two main factors to determine the best fertility-sparing surgical technique...
June 2016: Lancet Oncology
https://www.readbyqxmd.com/read/27298263/type-b-laparoscopic-radical-trachelectomy-with-pelvic-lymphadenectomy-for-early-cervical-cancer
#13
Camille Martel-Billard, Emilie Faller, Maia Delaine, Thomas Boisramé, Jean-Jacques Baldauf, Cherif Youssef Akladios
STUDY OBJECTIVE: To demonstrate the technique of laparoscopic radical trachelectomy (LRT) and laparoscopic pelvic lymphadenectomy for early cervical cancer. DESIGN: Case report (Canadian Task Force Classification Study design III). SETTING: Tertiary referral centre in Strasbourg, France. BACKGROUND: Over the past 15 years, gynecologic oncologists have sought ways to preserve female fertility when treating invasive cervical cancer...
January 1, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27246304/role-of-cervical-cytology-in-surveillance-after-radical-trachelectomy-for-cervical-cancer
#14
Alaina J Brown, Jaimin S Shah, Nicole D Fleming, Alpa M Nick, Pamela T Soliman, Gary B Chisholm, Kathleen M Schmeler, Pedro T Ramirez, Michael Frumovitz
OBJECTIVE: There are currently no standard guidelines on the use of Papanicolaou (Pap) tests for surveillance after radical trachelectomy for cervical cancer. The goal of this study was to determine the usefulness of Pap tests in routine surveillance after radical trachelectomy for cervical cancer. METHODS: Cervical cancer patients who underwent radical trachelectomy from January 2004 through October 2015 and subsequently had at least one Pap test were retrospectively identified...
August 2016: Gynecologic Oncology
https://www.readbyqxmd.com/read/26975424/long-term-outcomes-of-radical-vaginal-trachelectomy-and-laparoscopic-pelvic-lymphadenectomy-after-neoadjuvant-chemotherapy-for-the-ib1-cervical-cancer-a-series-of-60-cases
#15
Hong Yan, Zhongyu Liu, Xiaoyu Fu, Yan Li, Hongzhi Che, Rui Mo, Lei Song
OBJECTS: The present study sought to analyze the long-time clinical outcomes of the stage IB1 cervical cancer patients who had received the radical vaginal trachelectomy (RVT) and laparoscopic lymphadenectomy after neoadjuvant chemotherapy (NACT). METHOD: This is a prospective study of 60 patients potentially selected for RVT for a clinical and radiologic cervical cancer (stages IB 1) less than 2 cm. These patients were treated with surgery combined with preoperative NACT in the Department of Obstetrics and Gynecology, PLA General Hospital...
May 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/26845228/reproductive-and-oncologic-outcome-following-robot-assisted-laparoscopic-radical-trachelectomy-for-early-stage-cervical-cancer
#16
Gry Johansen, Celine Lönnerfors, Henrik Falconer, Jan Persson
OBJECTIVE: To investigate the reproductive and oncologic outcome following robotic radical trachelectomy for early stage cervical cancer. METHODS: All women with early stage cervical cancer planned for fertility-sparing robotic trachelectomy between December 2007 and April 2015 at two tertiary referral centers in Sweden were identified. Perioperative- and follow-up data was retrieved from prospective databases used for all robotic procedures at the respective institution and an additional review of computerized patient files was performed...
April 2016: Gynecologic Oncology
https://www.readbyqxmd.com/read/26681641/-fertility-sparing-treatment-in-women-affected-by-cervical-cancer-larger-than-2cm
#17
Juan Pablo Estevez, Delphine Hequet, Coraline Dubot, Virginie Fourchotte, Thibault De La Motte Rouge, Véronique Becette, Roman Rouzier
OBJECTIVE: We report our experience on fertility sparing treatment in young women affected by cervical cancer of more than 2cm. METHODS: Between July 2012 and February 2014, five patients presenting cervical tumors larger than 2cm (IB1>2cm) (23-35) and wishing to preserve fertility have been treated at our institution. Laparoscopic pelvic and para-aortic lymphadenectomy was performed for all patients. When lymph nodes were free of disease, patients had neoadjuvant chemotherapy followed by surgical conservative treatment...
February 2016: Bulletin du Cancer
https://www.readbyqxmd.com/read/26665573/-pregnancy-and-labor-after-fertility-sparing-surgical-management-of-cervical-cancer
#18
Pawel Basta, Wojciech Kolawa, Klaudia Stangel-Wójcikiewicz, Janina Schwarz
OBJECTIVE: The aim of the study was to evaluate the possibility of conception and the course of pregnancy in women with cervical cancer (FIGO IA and IB1), who underwent fertility-sparing surgical management, i.e. surgical conization or radical vaginal trachelectomy with laparoscopic lymphadenectomy. MATERIAL AND METHODS: A total of 80 patients treated surgically due to cervical cancer constituted the study group. Out of them, 65 (85%) women underwent surgical conization (43--FIGO IA1 and 25--FIGO IA2), and 12 (15%) women underwent radical vaginal trachelectomy with laparoscopic lymphadenectomy (9--FIGO IA2 and 3--FIGO lB1)...
September 2015: Ginekologia Polska
https://www.readbyqxmd.com/read/26648155/laparoscopy-in-uterine-cervical-cancer-current-state-and-literature-review
#19
Audrey Tieko Tsunoda, Carlos Eduardo Mattos da Cunha Andrade, Marcelo Andrade Vieira, Ricardo dos Reis
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...
September 2015: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/26631768/robotic-versus-laparoscopic-radical-trachelectomy-for-early-stage-cervical-cancer-case-report-and-review-of-literature
#20
REVIEW
Murat Api, Aysen Boza, Mehmet Ceyhan
We conducted a literature review to evaluate the minimally invasive fertility-sparing procedures, namely robotic radical trachelectomy (RRT) and laparoscopic radical trachelectomy (LRT), in patients with early-stage cervical cancer. We searched PubMed, MEDLINE, Ovid, Google Scholar, and Scopus up to July 2015 using the following key words and their combinations: cervical cancer, early stage, fertility-sparing surgery, radical trachelectomy, robotic trachelectomy, and laparoscopic trachelectomy. Papers providing details of RRT and LRT separately were included...
July 2016: Journal of Minimally Invasive Gynecology
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