Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications
Identifieur interne : 003E37 ( Ncbi/Curation ); précédent : 003E36; suivant : 003E38Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications
Auteurs : Rachel A. Ware [États-Unis] ; John R. Van Nagell [États-Unis]Source :
- Obstetrics and Gynecology International [ 1687-9589 ] ; 2010.
Abstract
Radical hysterectomy with pelvic lymphadenectomy remains the treatment of choice for women with Stages IA2 and IB1 carcinoma of the cervix, and selected patients with Stage II endometrial cancer. Improvement in surgical techniqe, administration of prophylactic antibiotics, thromboemolic prophylaxis, and advances in critical care medicine have resulted in lower operative morbidity associated with this procedure. Major urinary tract complications such as ureteral injury or vesico-vaginal fistula are now extremely rare (<1%). Five-year survival rates following this procedure vary according to a number of clinical and histologic variables, and may be as high as 90% in women without lymph node metastases.
Url:
DOI: 10.1155/2010/587610
PubMed: 20871657
PubMed Central: 2939408
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Ware</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Kentucky Chandler Medical Center and Markey Cancer Center, 800 Rose Street, Lexington, KY 40536-0293, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Kentucky Chandler Medical Center and Markey Cancer Center, 800 Rose Street, Lexington, KY 40536-0293</wicri:regionArea><wicri:noRegion>KY 40536-0293</wicri:noRegion></affiliation></author><author><name sortKey="Van Nagell, John R" sort="Van Nagell, John R" uniqKey="Van Nagell J" first="John R." last="Van Nagell">John R. 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Ware</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Kentucky Chandler Medical Center and Markey Cancer Center, 800 Rose Street, Lexington, KY 40536-0293, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Kentucky Chandler Medical Center and Markey Cancer Center, 800 Rose Street, Lexington, KY 40536-0293</wicri:regionArea><wicri:noRegion>KY 40536-0293</wicri:noRegion></affiliation></author><author><name sortKey="Van Nagell, John R" sort="Van Nagell, John R" uniqKey="Van Nagell J" first="John R." last="Van Nagell">John R. Van Nagell</name><affiliation wicri:level="1"><nlm:aff id="I1">Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Kentucky Chandler Medical Center and Markey Cancer Center, 800 Rose Street, Lexington, KY 40536-0293, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Kentucky Chandler Medical Center and Markey Cancer Center, 800 Rose Street, Lexington, KY 40536-0293</wicri:regionArea><wicri:noRegion>KY 40536-0293</wicri:noRegion></affiliation></author></analytic><series><title level="j">Obstetrics and Gynecology International</title><idno type="ISSN">1687-9589</idno><idno type="eISSN">1687-9597</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Radical hysterectomy with pelvic lymphadenectomy remains the treatment of choice for women with Stages IA<sub>2</sub> and IB<sub>1</sub> carcinoma of the cervix, and selected patients with Stage II endometrial cancer. Improvement in surgical techniqe, administration of prophylactic antibiotics, thromboemolic prophylaxis, and advances in critical care medicine have resulted in lower operative morbidity associated with this procedure. Major urinary tract complications such as ureteral injury or vesico-vaginal fistula are now extremely rare (<1%). Five-year survival rates following this procedure vary according to a number of clinical and histologic variables, and may be as high as 90% in women without lymph node metastases.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author><author><name sortKey="Siegel, R" uniqKey="Siegel R">R Siegel</name></author><author><name sortKey="Ward, E" uniqKey="Ward E">E Ward</name></author><author><name sortKey="Hao, Y" uniqKey="Hao Y">Y Hao</name></author><author><name sortKey="Xu, J" uniqKey="Xu J">J Xu</name></author><author><name sortKey="Thun, Mj" uniqKey="Thun M">MJ Thun</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sankaranarayanan, R" uniqKey="Sankaranarayanan R">R Sankaranarayanan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Okabayashi, H" uniqKey="Okabayashi H">H 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uniqKey="Baykal C">C Baykal</name></author><author><name sortKey="Demirtas, E" uniqKey="Demirtas E">E Demirtas</name></author><author><name sortKey="Ayhan, A" uniqKey="Ayhan A">A Ayhan</name></author><author><name sortKey="Yuce, K" uniqKey="Yuce K">K Yüce</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lai, C H" uniqKey="Lai C">C-H Lai</name></author><author><name sortKey="Hong, J H" uniqKey="Hong J">J-H Hong</name></author><author><name sortKey="Hsueh, S" uniqKey="Hsueh S">S Hsueh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liu, F S" uniqKey="Liu F">F-S Liu</name></author><author><name sortKey="Hung, M J" uniqKey="Hung M">M-J Hung</name></author><author><name sortKey="Hwang, S F" uniqKey="Hwang S">S-F Hwang</name></author><author><name sortKey="Lu, C H" uniqKey="Lu C">C-H Lu</name></author><author><name sortKey="Ke, Y M" uniqKey="Ke Y">Y-M Ke</name></author><author><name sortKey="Ho, Es C" uniqKey="Ho E">ES-C Ho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kavallaris, A" uniqKey="Kavallaris A">A Kavallaris</name></author><author><name sortKey="Abu Marar, E" uniqKey="Abu Marar E">E Abu Marar</name></author><author><name sortKey="Beyer, D" uniqKey="Beyer D">D Beyer</name></author><author><name sortKey="Banz, C" uniqKey="Banz C">C Banz</name></author><author><name sortKey="Diedrich, K" uniqKey="Diedrich K">K Diedrich</name></author><author><name sortKey="Altgassen, C" uniqKey="Altgassen C">C Altgassen</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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