Robot-assisted total preservation of pelvic autonomic nerve with extended lymphadenectomy as part of nerve-sparing radical hysterectomy for cervical cancer

2013 ◽  
Vol 130 (1) ◽  
pp. e41
Author(s):  
Y. Lee ◽  
O. Chong ◽  
G. Hong ◽  
Y. Lee ◽  
L. Cho ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Radical Hysterectomy ◽  
Autonomic Nerve ◽  
Nerve Sparing ◽  
Extended Lymphadenectomy ◽  
Robot Assisted ◽  
Pelvic Autonomic Nerve ◽  
Total Preservation

scholarly journals A Concise Paradigm on Radical Hysterectomy: The Comprehensive Anatomy of Parametrium, Paracolpium and the Pelvic Autonomic Nerve System and Its Surgical Implication

Cancers ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 1839 ◽  
Author(s):  
Mustafa Zelal Muallem ◽  
Thomas Jöns ◽  
Nadja Seidel ◽  
Jalid Sehouli ◽  
Yasser Diab ◽  
...  
Keyword(s):  
Radical Hysterectomy ◽  
Three Dimensional ◽  
Figo Stage ◽  
Autonomic Nerve ◽  
Nerve Sparing ◽  
Anatomical Structures ◽  
Pelvic Autonomic Nerve ◽  
Direct Infiltration ◽  
Autonomic Nerve System ◽  
Nerve System

The current understanding of radical hysterectomy is more centered on the uterus and little is discussed regarding the resection of the vaginal cuff and the paracolpium as an essential part of this procedure. The anatomic dissections of two fresh and 17 formalin-fixed female pelvis cadavers were utilized to understand and decipher the anatomy of the pelvic autonomic nerve system (PANS) and its connections to the surrounding anatomical structures, especially the paracolpium. The study mandates the recognition of the three-dimensional (3D) anatomic template of the parametrium and paracolpium and provides herewith an enhanced scope during a nerve-sparing radical hysterectomy procedure by precise description of the paracolpium and its close anatomical relationships to the components of the PANS. This enables the medical fraternity to distinguish between direct infiltration of the paracolpium, where the nerve sparing technique is no longer possible, and the affected lymph node in the paracolpium, where nerve sparing is still an option. This study gives rise to a tailored surgical option that allows for abandoning the resection of the paracolpium by FIGO stage IB1, where less than 2 cm vaginal vault resection is demanded.

scholarly journals Proteomic Analysis of Pelvic Autonomic Nerve in Nerve-sparing Radical Hysterectomy for Cervical Carcinoma

2018 ◽  
Vol 15 (4) ◽  
pp. 337-342 ◽  
Author(s):  
YOON HEE LEE ◽  
MIN KYUNG KIM ◽  
HEE YOUNG MOON ◽  
GUN OH CHONG ◽  
HYUN JUNG LEE ◽  
...  
Keyword(s):  
Cervical Carcinoma ◽  
Radical Hysterectomy ◽  
Proteomic Analysis ◽  
Autonomic Nerve ◽  
Nerve Sparing ◽  
Pelvic Autonomic Nerve

A systematic nerve-sparing radical hysterectomy technique in invasive cervical cancer for preserving postsurgical bladder function

2005 ◽  
Vol 15 (2) ◽  
pp. 389-397 ◽  
Author(s):  
N. Sakuragi ◽  
Y. Todo ◽  
M. Kudo ◽  
R. Yamamoto ◽  
T. Sato
Keyword(s):  
Cervical Cancer ◽  
Radical Hysterectomy ◽  
Invasive Cervical Cancer ◽  
Uterine Cervical Cancer ◽  
Bladder Function ◽  
Autonomic Nerve ◽  
Nerve Sparing ◽  
Autonomic Nerves ◽  
Bladder Sensation ◽  
Pelvic Splanchnic Nerves

The objective of this study is to describe a technique for preserving the autonomic nerve systematically, including the hypogastric nerves, pelvic splanchnic nerves, and pelvic plexus and its vesical branches, based on anatomic considerations for the autonomic nerves innervating the urinary bladder, in radical hysterectomies and to assess postsurgical bladder function. A nerve-sparing radical hysterectomy was carried out on 27 consecutive patients with uterine cervical cancer treated between 2000 and 2002. The FIGO stages of the disease consisted of 10 stage Ib1, 6 stage Ib2, 3 stage IIa, and 8 stage IIb. The nerve-sparing procedure was successfully completed in 22 of the 27 patients (81.5%) in the study. At 1 year after the operation, bladder symptoms were significantly improved in the nerve-sparing group compared to the non–nerve-sparing group. Urinary incontinence and abnormal (diminished) bladder sensation were observed in three of the five patients (two patients had both symptoms), for whom the nerve-sparing procedure could not be performed, but none of the 22 patients for whom the nerve-sparing procedure was performed had incontinence, and only two patients had abnormal (increased) bladder sensation (P = 0.0034 for incontinence and P = 0.030 for abnormal bladder sensation). The patients' survival was not adversely affected by the nerve-sparing procedure. Although it is still preliminary, the surgical technique described in this report is thought to be effective for preserving bladder function, and thus, the quality of life could be improved for patients with cervical cancer who are treated with a radical hysterectomy. For further evaluation of the efficacy of nerve-sparing radical hysterectomy, a prospective randomized trial needs to be performed.

Benefit of robot-assisted laparoscopy in nerve-sparing radical hysterectomy: urinary morbidity in early cervical cancer

2012 ◽  
Vol 27 (4) ◽  
pp. 1237-1242 ◽  
Author(s):  
Fabrice Narducci ◽  
Pierre Collinet ◽  
Benjamin Merlot ◽  
Eric Lambaudie ◽  
Loic Boulanger ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Radical Hysterectomy ◽  
Nerve Sparing ◽  
Robot Assisted ◽  
Urinary Morbidity ◽  
Early Cervical Cancer

Nerve-sparing radical hysterectomy in patients with infiltrative cervical cancer

2016 ◽  
pp. 46-51
Author(s):  
T. Dermenzhy ◽  
◽  
V. Svintitskiy ◽  
S. Nespryadko ◽  
L. Legerda ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Radical Hysterectomy ◽  
Contractile Function ◽  
Major Elements ◽  
Control Group ◽  
Nerve Sparing ◽  
Group I ◽  
Hypogastric Plexus ◽  
Prognostic Indexes

The objective: to improve an effectiveness of therapy and quality of life of patients with infiltrative cervical cancer using radical hysterectomy accomplished with nerve-sparing methodology. Patients and Methods: Ninety patients with histologically verified infiltrative cervical cancer were cured with radical hysterectomy (RHE) in the Department of Oncogynecology of National Cancer Institute (Kyiv, Ukraine) in 2012-2016. The age of the patients was from 26 to 65 years (an average age of 42.61±1.06). The patients were distributed in 2 groups: group I treated with nerve-sparing radical hysterectomy (NSRHE), 45 patients, the main group; group II treated with radical hysterectomy (RHE III), the control group, 45 patients. The prognostic indexes in the groups were similar. Results. NSRHE that included the dissection of cardinal ligament, separation of dorsal and anterior layers of uterovesical ligament allowed separate uterine branch of inferior hypogastric plexus, preserve an innervation of urinary bladder and prevent the malfunction of its contractile function at postoperative period. Conclusion. The data of the urodynamic study using cystomanometry performed at pre- and early operative periods have shown that surgical treatment of patients with infiltrative cervical cancer with preservation of the major elements of pelvic autonomic plexuses allows significantly decrease the rate of postoperative urogenical malfunctions. Key words: nerve-sparing radical hysterectomy, cervical cancer, cystomanometry.

Robot-assisted radical hysterectomy—perioperative and survival outcomes in patients with cervical cancer compared to laparoscopic and open radical surgery

2011 ◽  
Vol 9 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Grigor Gortchev ◽  
Slavcho Tomov ◽  
Latchesar Tantchev ◽  
Angelika Velkova ◽  
Zdravka Radionova
Keyword(s):  
Cervical Cancer ◽  
Radical Hysterectomy ◽  
Radical Surgery ◽  
Survival Outcomes ◽  
Robot Assisted
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