Laparoscopic or Minimally Invasive Surgery in the Treatment of Cervical Cancer

Vanessa Carrillo Redondo,Angie Katerine Rodríguez Paredes,Olga Vanessa Manrique Arismendy,Mariana Borras Osorio,Jairo Jesús Martínez Romero,Yamith De Jesús Álvarez Castro

doi:10.31579/2642-9756/084

Abstract

Cervical cancer is the most common cause of death in female patients over 45 years of age. Surgical treatment (laparoscopic total hysterectomy and radical hysterectomy plus laparoscopic pelvic lymphadenectomy) is the most curative therapeutic resource in the initial stages (Ia1, Ia2 and Ib1). The treatment adopted in the development of this pathology is fundamental as the technique used to determine the prognosis of cervical cancer and obtain information on lymphatic involvement. Imaging techniques have advanced in recent years, but the only reliable way to detect lymph node involvement is the pathological study of the extracted pieces. The goal of laparoscopic staging is to assess bladder, bowel, and lymph node involvement and intra-abdominal disease. Laparoscopic pelvic and lumboaortic lymphadenectomy is effective in staging and treating gynecologic cancers. Laparoscopic lumboaortic lymphadenectomy has few complications, rescues an acceptable number of lymph nodes, and requires a shorter hospital stay. In addition, it identifies cervical cancers that require extended-field radiation therapy.

Highlights

Cancer is an important public health problem, worldwide and in the country, where its incidence has been seen, with a growing trend in recent years; it is a disease with high morbidity and mortality; It is one of the most complicated processes that medicine faces, due to its complex, diverse and multi-causal nature
Pelvic lymph node status does not affect pelvic radiation. Another benefit of pre-therapeutic laparoscopy is the possibility of performing ovarian transposition in premenopausal women [1]
Hysterectomy is one of the very common surgical procedures in the gynecology specialty, approximately 90% of these are performed for benign causes

Summary

Introduction

Cancer is an important public health problem, worldwide and in the country, where its incidence has been seen, with a growing trend in recent years; it is a disease with high morbidity and mortality; It is one of the most complicated processes that medicine faces, due to its complex, diverse and multi-causal nature. Cancer becomes a dreaded word for those who do not have it and unpronounceable for those who suffer from it. It is irreversible and progressive in nature, it can be due to multiple causes capable of producing mutations and important genetic changes in the cell structure. Despite studying the effect of some genes on the cell cycle, there is no clear evidence of their role in tumor cell metabolism. The prognosis of this disease largely depends on factors related to the host, the location of the tumor, and the time at which the diagnosis is made. The incidence of cervical cancer varies considerably from one region of the world to another, with differences of up to 20 times between the highest and lowest incidences

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