title: [A critical assessment of morcellation in case of uterine malignancies and its impact on gynecologic surgery: From "precautionary principle" to "realism"].
abstract: Minimally invasive surgery has demonstrated benefits that include improved pain control, decreased infection risk, and faster surgical recovery and return to work. Morcellation is an integral part of making laparoscopic surgery possible for the removal of large uterine leiomyomata, and the development of power morcellation has increased efficiency during these procedures. Morcellation may expose patients to increased morbidity in certain circumstances. This is particularly true in cases of unrecognized malignancy, where intra-abdominal dissemination of cancer may worsen the prognosis (overall survival and disease free survival). A critical review of published data supports that tissue morcellation can be performed safely in screened and selected patients.
authors.affiliation: Centre regional de lutte contre le cancer Bordeaux-Aquitaine, institut Bergonié, département de chirurgie oncogynécologique, 229, cours de l'Argonne, 33076 Bordeaux cedex, France. Electronic address: F.guyon@bordeaux.unicancer.fr.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Guyon
authors.affiliation: Centre regional de lutte contre le cancer Bordeaux-Aquitaine, institut Bergonié, département de chirurgie oncogynécologique, 229, cours de l'Argonne, 33076 Bordeaux cedex, France.
authors.forename: Gloria
authors.initials: G
authors.lastname: Cordeiro Vidal
authors.affiliation: Centre regional de lutte contre le cancer Bordeaux-Aquitaine, institut Bergonié, département de chirurgie oncogynécologique, 229, cours de l'Argonne, 33076 Bordeaux cedex, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Babin
authors.affiliation: Centre regional de lutte contre le cancer Bordeaux-Aquitaine, institut Bergonié, département de chirurgie oncogynécologique, 229, cours de l'Argonne, 33076 Bordeaux cedex, France.
authors.forename: Eberhard
authors.initials: E
authors.lastname: Stoeckle
authors.affiliation: Centre regional de lutte contre le cancer Bordeaux-Aquitaine, institut Bergonié, département de chirurgie oncogynécologique, 229, cours de l'Argonne, 33076 Bordeaux cedex, France.
authors.forename: Denis
authors.initials: D
authors.lastname: Querleu
mesh_terms: D018572:Disease-Free Survival; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D033162:Incidental Findings; D000069577:Morcellation / Q000009:adverse effects* / Q000379:methods* / Q000401:mortality; D009382:Neoplasms, Unknown Primary / Q000175:diagnosis / Q000601:surgery*; D018579:Patient Selection; D011379:Prognosis; D012509:Sarcoma / Q000601:surgery; D014594:Uterine Neoplasms / Q000401:mortality / Q000601:surgery*
keywords: Cancer endométrial; Chirurgie minimale invasive; Endometrial carcinoma; Minimally invasive surgery; Morcellation; Sarcome utérin; Uterine sarcoma