SciELO - Scientific Electronic Library Online

 
vol.34 número2Estado vacunal y motivos de no vacunación contra el virus del papiloma humano en adolescentes admitidas en el Hospital Pediátrico del Centro Hospitalario Pereira RossellCalidad oncológica en cirugía del cáncer de recto índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Revista Médica del Uruguay

versión impresa ISSN 0303-3295versión On-line ISSN 1688-0390

Resumen

BEN, Sebastián et al. Minimally invasive radical treatment for invasive cervical cancer: experience at gynecotological clinic "A". Rev. Méd. Urug. [online]. 2018, vol.34, n.2, pp.29-47. ISSN 0303-3295.  http://dx.doi.org/10.29193/rmu.34.2.2.

Introduction:

Cervical cancer is the fourth most frequent cancer in women around the world. Surgery is the first choice for treatment in early stages.

The standard surgical treatment is Type C1 Radical Hysterectomy and pelvic lymphadenectomy. Laparotomy is the typical surgical approach used in Uruguay. Oncologic results are similar for the different surgical approaches. The study presents the first case series of minimally invasive cervical treatment of cervical cancer published in Uruguay.

Method:

descriptive, prospective study of a series of cases. All patients operated at the Gynecological Clinic “A”, Pereira Rossell Hospital from January 2013 until December 2016 for invasive cervical cancer with minimally invasive approach as the primary treatment were included in the study.

Results:

17 patients were operated: 14 Radical Laparoscopic hysterectomy + laparoscopic pelvic lymphadenectomy and 3 radical vaginal hysterectomy + laparoscopic pelvic lymphadenectomy. Average ager: 44 years old. Average surgical time: 261 minutes. Average post-surgery hospital stay: 5 days. 2 cases changed into laparotomy. An average of 14.4 pelvic lymph nodes were resected. In no case were margins compromised. Two bladder lesions, no cases of severe bleeding, transfusion, intestine, vascular or ureteral lesions. No cases of infection, deshicence, thrombosis, reoperation or readmission. NO recurrence, average follow up was 29 months.

Conclusions:

minimally invasive surgery is a feasible treatment for early stages cervical cancer in our country, obtaining good anatomopathological, surgical and oncological results, morbility being low.

Palabras clave : Uterine cervical neoplasms; Minimally invasive surgical procedures; Hysterectomy; Lymph node excision.

        · resumen en Español | Portugués     · texto en Español     · Español ( pdf )