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Laparoscopic Radical Hysterectomy

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Surgery for Gynecologic Cancer

Abstract

Radical hysterectomy is the currently accepted treatment for early-stage cervical cancer. Various radical hysterectomy techniques have been demonstrated in the literature, based predominantly around abdominal radical hysterectomy but more recently on laparoscopic radical hysterectomy. Over the last two decades, many studies have indicated laparoscopic radical hysterectomy’s safety and feasibility for early-stage cervical cancer. The proven benefits, in the appropriately selected cancer patient, of laparoscopy over laparotomy for radical hysterectomy have been significant reductions in blood loss, pain, duration of hospital stay, wound complications, etc. However, until just recently, there had been few studies comparing laparoscopic radical hysterectomy and abdominal radical hysterectomy regarding recurrence and survival rates over a long follow-up period. In this chapter, we review previous reports of laparoscopic radical hysterectomy, having relatively large number of patients, that described perioperative morbidity, tumor recurrence, and survival rate. We present our view of laparoscopic radical hysterectomy’s bright prospects for the future.

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Acknowledgment

We would like to thank Ms. Hazuki Abe for creating the figures.

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Correspondence to Eiji Kobayashi .

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Kobayashi, E. et al. (2019). Laparoscopic Radical Hysterectomy. In: Mikami, M. (eds) Surgery for Gynecologic Cancer. Comprehensive Gynecology and Obstetrics. Springer, Singapore. https://doi.org/10.1007/978-981-13-1519-0_10

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  • DOI: https://doi.org/10.1007/978-981-13-1519-0_10

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1518-3

  • Online ISBN: 978-981-13-1519-0

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