Hysterectomy pp 611-619 | Cite as

Total Laparoscopic Nerve-Sparing Radical Hysterectomy

  • Hiroyuki KanaoEmail author
  • Nobuhiro Takeshima


Total laparoscopic radical hysterectomy for cervical carcinoma is currently an accepted surgical procedure, however, bladder dysfunction after this procedure is likely to decrease the patient’s quality of life. Therefore, for a low risk of cervical carcinoma, total laparoscopic nerve-sparing radical hysterectomy should be applied.

In this chapter, step-by-step surgical instructions for total laparoscopic nerve-sparing radical hysterectomy are described (with a special focus on the nerve-sparing techniques) and our original research regarding the correlations between the preserved pelvic nerve networks and bladder functions after total laparoscopic nerve sparing radical hysterectomy are introduced.


Hypogastric nerve Pelvic splanchnic nerve Pelvic nerve plexus Demembranation 


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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Department of Gynecologic OncologyCancer Institute HospitalTokyoJapan
  2. 2.Cancer Institute HospitalDepartment of Gynecologic OncologyTokyoJapan

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