Total laparoscopic nerve-sparing radical parametrectomy for occult early-stage cervical cancer: surgical technique and postoperative bladder function.
Surgery and radiotherapy are both regarded as standard treatments for occult cervical cancers. Surgery has several theoretical advantages over radiotherapy; therefore, such cancers, especially in their early stages, are commonly treated with radical parametrectomy. However, postoperative bladder dysfunction is an important potential complication of this type of surgery. This is a case report of total laparoscopic nerve-sparing radical parametrectomy for an occult cervical cancer using our original surgical concept based on detailed anatomical investigation of pelvic nerve networks in a fresh cadaver. We evaluated the validity of our nerve-sparing technique by assessing postoperative bladder function using urodynamic studies.
Department of Obstetrics and Gynecology, Kurashiki Medical Center, Kurashiki, Japan.
Hiroyuki
H
Kanao
Kazuko
K
Fujiwara
Keiko
K
Ebisawa
Tomonori
T
Hada
Yoshiaki
Y
Ota
Masaaki
M
Andou
D002102:Cadaver; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007001:Hypogastric Plexus / Q000033:anatomy & histology; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009382:Neoplasms, Unknown Primary / Q000601:surgery*; D017773:Pelvic Floor / Q000601:surgery; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000502:physiology; D002583:Uterine Cervical Neoplasms / Q000556:secondary / Q000601:surgery*