New techniques in radical hysterectomy. Curr Opin Obstet Gynecol 2008 Feb;20(1):14-9
Date
01/17/2008Pubmed ID
18197000DOI
10.1097/GCO.0b013e3282f2288aScopus ID
2-s2.0-38149133845 (requires institutional sign-in at Scopus site) 32 CitationsAbstract
PURPOSE OF REVIEW: To review the recent literature regarding modifications of abdominal radical hysterectomy as well as development of new approaches including laparoscopic, vaginal, and robotic radical hysterectomy.
RECENT FINDINGS: Nerve-sparing radical hysterectomy technique allows for significant reduction in postoperative bladder morbidity. Radical vaginal hysterectomy with laparoscopic lymph node dissection is a well-recognized technique that offers excellent cure rates with absence of abdominal entry as well as reduced postoperative febrile and gastrointestinal morbidity. Total laparoscopic radical hysterectomy is a minimally invasive alternative to a traditional abdominal radical hysterectomy approach that yields comparable safety profile with a significant reduction in blood loss and hospital stay. Robotic surgery is becoming more widely accepted in the management of gynecologic cancers and larger series describing successful treatment of cervical cancer with robotic radical hysterectomy are soon to be published.
SUMMARY: There are a number of approaches to performing radical hysterectomy. The feasibility and safety of these techniques have been well established. Preliminary oncologic outcome data are encouraging. The decision to utilize newer techniques depends on the patient and type of practice, as well as the surgeon's comfort level with laparoscopy, robotics, or vaginal surgery.
Author List
Zakashansky K, Bradley WH, Nezhat FRAuthor
William H. Bradley MD Professor in the Obstetrics and Gynecology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Adnexa UteriFemale
Humans
Hysterectomy, Vaginal
Robotics
Uterine Cervical Neoplasms
