22 feb. NERVE SPARING RADICAL HYSTERECTOMY – OUR INITIAL EXPERIENCE
P. Stanciu*, M. Craina*, Diana Maria Anastasiu*, Miriam Ecaterina Ionescu*, O. Neagoe**, D.Anastasiu*
*Department of Obstetrics and Gynecology, University of Medicine and Pharmacy „Victor Babeş” Timişoara
**Ist Department of General Surgery and Oncology, University of Medicine and Pharmacy „Victor Babes” Timişoara
Rezumat
Obiectivul acestei lucrări este de a evalua eficacitatea histerectomiei radicale, clasa III în conformitate cu clasificarea Piver-Rutledge-Smith cu nerve sparing ‘i de a descrie experiena noastră iniială.
Am realizat un studiu retrospectiv din ianuarie 2011 până în ianuarie 2014, care cuprinde 17 paciente diagnosticate cu cancer de col uterin stadiul IB1 – IIA2 la care s-a practicat histerectomie radicală cu tehnica de nerve sparing. Rezecia ligamentelor cardinale ‘i uterosacrate a fost efectuată în conformitate cu clasa III de histerectomie radicală, cu o atenie deosebită pentru a menine inervaia pelvină autonomă.
Timp mediu operator a fost de 215 min., pierderea medie de sânge a fost de 375 ml. Volumul urinar rezidual postmicional <100 ml a fost atins după un timp mediu de 11 zile. Nu a fost înregistrată nici o complicaie intraoperatorie, 'i nici margini de rezecie pozitive în grupul de studiu.
Concluzie: Histerectomia radicală clasa III cu nerve sparing este o intervenie fezabilă ‘i competentă, cu marele avantaj de conservare a nervilor pelvini autonomi.
Abstract – Diagnosis of genital tuberculosis by laparoscopic method
The objective of this paper is to evaluate the efficacy of class III radical hysterectomy according to Piver-Rutledge-Smith classification with nerve sparing and to describe our initial experience.
We conducted a retrospective study from January 2011 to January 2014, including 17 patients diagnosed with cervical cancer stage IB1 – IIA2 who underwent radical hysterectomy with nerve sparing technique. Resection of the cardinal and uterosacral ligaments was performed according to class III radical hysterectomy with special attention to preserve autonomic pelvic nerves.
Mean operative time was 215 min., average blood loss was 375 ml. Post void residual urine volume <100 ml was achieved after an average time of 11 days. No surgery-related injury or positive margins were reported in the study group.
Conclusion: Class III radical hysterectomy with nerve sparing is a feasible and competent intervention with the great advantage of preservation the autonomic pelvic nerves.
Keywords: cervical cancer, radical hysterectomy, nerve sparing, lymphadenectomy