[Development of radical surgical technics in gynecology exemplified by ovarian and cervix cancer].
Surgical treatment of genital cancers has changed over the last 40 to 50 years, as shown by two examples: cancer of the ovary, and cancer of the cervix. With the first, optimal (radical) debulking surgery is the cornerstone of treatment, with the second, a more individualized therapy, including pelvic evisceration for specific indications, are (almost) a generally accepted policy. Controversial issues are the therapeutic effect of an extended aortopelvic lymphadenectomy in both malignancies or the radical parametrial excision in cancer of the cervix. A rather sceptical attitude is taken towards the second-look laparotomy or secondary debulking surgery in cancer of the ovary and the pretherapeutic or staging laparotomy in cervical malignancies.
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D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D010051:Ovarian Neoplasms / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods*; D012086:Reoperation; D002583:Uterine Cervical Neoplasms / Q000601:surgery*
Die Entwicklung radikaler Operationstechniken in der Gynäkologie am Beispiel des Ovarial- und Zervixkarzinoms.