Laparoscopic radical hysterectomy for Stages IA2 and IB cervical cancer
Objective. To assess the immediate results of laparoscopic radical hysterectomy for Stages IB2 and IIB cervical cancer (after neoadjuvant chemotherapy) and for the early stages of the disease.Ovodenko D.L., Khabas G.N., Makarova A.S., Sheshko P.L., Sannikova M.V., Pirogova M.S., Golitsyna Yu.S., Mamedov Sh.Ya., Grigoryev V.Yu., Ashrafyan L.A.
Material and methods. The paper presents the results of treating 59 patients with cervical cancer who have undergone Piver type III laparoscopic radical hysterectomy, including 33 patients with early stages (IA2, IB1, IIA1) of the disease and 26 patients with its locally advanced forms (IB2, IIA2, IIB) after neoadjuvant chemotherapy.
Results. The histopathological parameters of radical surgery (the number of lymph nodes, the level of removal of the parametrium and a vaginal cuff) did not differ at the early and locally advanced stages of cervical cancer.
Conclusion. Laparoscopic radical hysterectomy after neoadjuvant chemotherapy for Stages IB2–IIB cervical cancer is an effective method for the surgical treatment of patients.
Keywords
cervical cancer
laparoscopy
neoadjuvant chemotherapy
Supplementary Materials
- Table 1. Distribution by stages of treated patients with cervical cancer
- Table 2. Classification of hysterectomies
- Table 3. Results of laparoscopic radical hysterectomies in patients with initial and locally advanced forms of cervical cancer
- Figure. Type of macro preparation after radical hysterectomy Piver III
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Received 09.06.2017
Accepted 23.06.2017
About the Authors
Dmitry Leonidovich Ovodenko, Candidate of Medical Science, Head of Department of Clinical Work, Oncologist of the Department of InnovativeOncology and Gynecology, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74955314444, +79035366886. E-mail: d_ovodenko@oparina4.ru
Grigory Nikolaevich Khabas, Ph.D., Head of the Department of Innovative Oncology and Gynecology, Research Center of Obstetrics, Gynecology, and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74955314444. E-mail: g_khabas@oparina4.ru
Anna Semenovna Makarova, doctor gynecologist of the department of innovative oncology and gynecology, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74955314444. E-mail: a_makarova@oparina4.ru
Polina Leonidovna Sheshko, doctor gynecologist of the department of innovative oncology and gynecology, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74955314444. E-mail: p_sheshko@oparina4.ru
Maya Viktorovna Sannikova, Ph.D., research assistant of the Department of Innovative Oncology and Gynecology, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74955314444. E-mail: m_sannikova@oparina4.ru
Maria Sergeevna Pirogova, oncologist, chemotherapeutist, Department of Innovative Oncology and Gynecology, Research Center of Obstetrics,
Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74955314444. E-mail: m_sannikova@oparina4.ru
Julia Sergeevna Golitsyna, obstetrician gynecologist, Department of Innovative Oncology and Gynecology, Research Center of Obstetrics,
Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4
Shakhin Yasharovich Mamedov, oncologist of the Department of Innovative Oncology and Gynecology, Research Center of Obstetrics, Gynecology, and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74955314444
Vyacheslav Y. Grigoriev, a student of the 6th year of the Faculty of Biology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.
119991, Russia, Moscow, Trubetskaya str. 8, bld. 2. Tel.: +74956091400
Lev Andreevich Ashrafyan, MD, Professor, Academician of the Russian Academy of Sciences, Head of the Research Department of Early Carcinogenesis,
Prevention, Diagnosis and Comprehensive Treatment of Oncological Diseases of Female Reproductive Organs, Russian Research Center for Roentgenology and Radiology, Ministry of Health of Russia. 117485, Russia, Moscow, Profsoyuznaya str. 86
For citations: Ovodenko D.L., Khabas G.N., Makarova A.S., Sheshko P.L., Sannikova M.V., Pirogova M.S., Golitsyna Yu.S., Mamedov Sh.Ya., Grigoryev V.Yu., Ashrafyan L.A. Laparoscopic radical hysterectomy for Stages IA2 and IB cervical cancer.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (4): 101-7. (in Russian)
https://dx.doi.org/10.18565/aig.2018.4.101-107
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