Uterine artery sparing robotic radical trachelectomy (AS-RRT) for early cancer of the cervix
Uterine artery sparing robotic radical trachelectomy (AS-RRT) for early cancer of the cervix
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DOI：
10.1016/j.ijgo.2010.07.028
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发表时间：
2011-01-01
影响因子：
3.8
通讯作者：
Kushner, David M.
中科院分区：
文献类型：
--
作者：
Al-Niaimi, Ahmed N.;Einstein, Margaret H.;Kushner, David M.
目的：目的探讨保留子宫动脉的机器人辅助根治性宫颈切除术（AS-RRT）治疗早期宫颈癌的手术技巧。研究方法：我们利用我们在美国威斯康星大学Carbone综合癌症中心进行AS-RRT的经验，对手术技术进行了详细描述。结果：报告详细介绍了我们的创新手术技术，并配有照片和插图。我们还讨论了手术技术的潜在困难并提供解决方案。结论：从技术上讲，该手术是可行的，可以由任何精通盆腔根治性手术和机器人系统的妇科肿瘤学家进行。该技术的长期产科和肿瘤结局预计将与已发表文献中其他根治性宫颈切除术的结局相匹配，但尚未完全阐明。(C)2010年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To describe the surgical technique of uterine artery sparing robotic assisted radical trachelectomy (AS-RRT) for early stage cervical cancer. Methods: We used our experience with AS-RRT performed at the University of Wisconsin-Carbone Comprehensive Cancer Center, USA, to present a detailed description of the surgical technique. Results: The report details, step-by-step, our innovative surgical technique, supported by photos and illustrations. We also discuss potential difficulties with the surgical technique and offer solutions. Conclusion: Technically, the surgery is feasible and could be performed by any gynecologic oncologist who is skilled in radical pelvic surgery and the robotic system. The long-term obstetric and oncologic outcome of this technique would be expected to match the outcome of the other radical trachelectomy techniques in the published literature, but is yet to be fully elucidated. (C) 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.