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Chapter-31 Laparoscopic management of cervical cancer

BOOK TITLE: Minimally Invasive Gynecologic Surgery: Evidence-Based Laparoscopic, Hysteroscopic and Robotic Procedures

Author
1. Fanfani Francesco
2. Gagliardi Maria Lucia
3. Fagotti Anna
4. Scambia Giovanni
ISBN
9781909836099
DOI
10.5005/jp/books/12892_32
Edition
1/e
Publishing Year
2016
Pages
8
Author Affiliations
1. University of Chieti-Pescara, Chieti, Italy
2. Hospital F. Veneziale, Isernia, Italy
3. Catholic University of the Sacred Heart, Rome, Italy
4. Catholic University (A. Gemelli) Hospital, Rome, Italy
Chapter keywords
lymphadenectomy, radical hysterectomy, therapeutic decisions, minimally invasive surgery, papanicolaou test, vaginal suturing, neurologic diseases, cardiovascular insufficiency, obstructive bronchitis, invasive carcinoma, pneumoperitoneum, glaucoma, ergonomic problems, blood dyscrasia, salpingo-oophorectomy, laparoscopic instrumentation

Abstract

This chapter discusses laparoscopic management of cervical cancer (CC), which remains a significant cause of death and one of the most common cancers in women. The presence of human papilloma virus in virtually all CCs implies the highest worldwide attributable fraction so far reported for a specific cause of any major human cancer. The suspicion of CC arises, in the most cases, through a papanicolaou test followed by a second-level examination and colposcopy or biopsy. Radical hysterectomy was firstly described for CC patients. The specimen is completely separated from the upper vagina and removed. If a bilateral salpingo-oophorectomy is being performed, the infundibulopelvic ligament is transected. Fallopian tubes are always removed. A general drawback to robotics is the expense of robotic platforms and instruments. The operating room setup and supply of dedicated instruments are essential for every kind of surgery but are even more important for laparoscopic radical hysterectomy.

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