Laporovaginal surgery in cervical cancer: a Croatian experience

Scientific paper - Original scientific paper

• Author: Ante Ćorušić
• Author: Dubravko Barišić
• Author: Andrea Plavec
• Author: Pavao Planinić
• Author: Lana Škrgatić
• Author: Goran Vujić
• Author: Mislav Herman
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

With correct staging a large number of patients with cervical cancer FIGO stages IA2 and IB can be spared of unnecessary radiation therapy by laparoscopic assisted vaginal radical hysterectomy (LAVRH) as an option of radical surgical treatment in such patients. The development of laparovaginal surgery, indication and contraindication were presented. Also, the surgical technique was described in detail. Fifty-two patients were followed up in 2003 after LAVRH or open surgery, performed in our single center. Only 5 (14%) patients died from cervical cancer within 3 years following the treatment. They were all clinical stage IB treated with open surgery. There were 4 (11%) complications following treatment and they were all in patients with clinical stage IB, also treated with open surgery. There was no complication in LAVRH treated patients. The results and complications of the sole Croatian center performing LAVRH or open surgery in patients with cervical cancer FIGO stages IA and IB were similar to those in centers across the world.

Abstract (croatian)

Korektnim određivanjem stadija bolesti prema FIGO klasifikaciji veliki broj bolesnica s rakom vrata maternice stadija IA2 i IB mogao bi se poštediti nepotrebnog radikalnog abdominalnog kirurškog liječenja gdje je i laparoskopski asistirana vaginalna radikalna histerektomija (LAVRH) moguća. Prikazani su povijesni pregled, indikacije i kontraindikacije za LAVRH. Kirurška tehnika LAVRH je detaljno opisana. 52 bolesnice su praćene tijekom 2003. godine nakon provedenog liječenja LAVRH-om ili abdominalnom radikalnom kirurškom operacijom izvedenom u našem centru. U razdoblju praćenja 5 (14%) bolesnica je umrlo od raka vrata maternice i sve su bile FIGO stadija IB, liječene abdominalnom radikalnom operacijom. Prikazane su 4 (10.5%) komplikacije, sve u bolesnica s FIGO stadijem IB liječenih abdominalnom radikalnom operacijom. U bolesnica liječenih LAVRH-om nisu zabilježene komplikacije. Preživljenje, kao i broj komplikacija nakon LAVRH ili radikalne abdominalne operacije, u našem centru u Hrvatskoj, ne razlikuju se u usporedbi s drugim svjetskim centrima.

• Keywords (english): Laparoscopy - methods - statistics & numerical data; Uterine Cervical Neoplasms - mortality - pathology - surgery; Croatia; Female; Humans; Survival Rate
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Collegium Antropologicum
• Numbering: vol. 31, no. Suppl., pp. 147-154
• p-ISSN: 0350-6134
• URN:NBN: urn:nbn:hr:105:587028
• Publication: 2007-04
• Document URL: https://hrcak.srce.hr/27442
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 10:48:57