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What minimally invasive or robotic surgical procedures are options for cervical cancer patients?
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PedroRamirezMD (Physician (Verified) ) - 05 / 04 / 2012
Minimally invasive surgery offers patients the benefits of a much faster recovery and quicker return to daily activities. It also provides a quicker return of bowel function and less requirements for pain medications. Robotic surgery is the latest technology in the minimally invasive approach.
Patients with early stage (stage IA2-IB1) cervical cancer are traditionally treated by radical hysterectomy. This procedure removes the cervix, uterus, the parametria (tissue immediately adjacent to the cervix) and the pelvic lymph nodes. It is now commonly performed by the laparoscopic or the robotic approach. This has been associated with less blood loss, transfusion rates, and shorter length of hospitalization. It has also been associated with lower postoperative complication rates.
For patients with early stage cervical cancer who are interested in future fertility, there is the option of a radical trachelectomy. In this procedure, the cervix and parametria are removed, along with pelvic nodes, but the uterus is intact and reattached to the vagina so that the patient will be able to get pregnant in the future. A select number of centers around the country are now also performing this procedure by the robotics approach. Results show that the blood loss and hospitalization after the robotics approach is less than when the procedure is performed through the open approach.
Patients with early stage (stage IA2-IB1) cervical cancer are traditionally treated by radical hysterectomy. This procedure removes the cervix, uterus, the parametria (tissue immediately adjacent to the cervix) and the pelvic lymph nodes. It is now commonly performed by the laparoscopic or the robotic approach. This has been associated with less blood loss, transfusion rates, and shorter length of hospitalization. It has also been associated with lower postoperative complication rates.
For patients with early stage cervical cancer who are interested in future fertility, there is the option of a radical trachelectomy. In this procedure, the cervix and parametria are removed, along with pelvic nodes, but the uterus is intact and reattached to the vagina so that the patient will be able to get pregnant in the future. A select number of centers around the country are now also performing this procedure by the robotics approach. Results show that the blood loss and hospitalization after the robotics approach is less than when the procedure is performed through the open approach.
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