Total laparoscopic radical hysterectomy for cervical cancer in prolapsed uterus.

Sílvia Cabrera, Franco-Camps S, García A, Vergés R, Berta Díaz‐Feijoó, Assumpció Pérez‐Benavente, Poza JL, Bradbury M, Jordi Xercavins, Xercavins J, Antonio Gil‐Moreno
Archives of gynecology and obstetrics · 2010 · doi:10.1007/s00404-010-1472-7 · PMID:20405294 · PMC7103181
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The authors report the first case of total laparoscopic radical hysterectomy for cervical cancer in a prolapsed uterus, demonstrating that this surgical approach is feasible despite the rare association between these conditions.

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This study presents a case report detailing the successful performance of total laparoscopic radical hysterectomy for cervical cancer in a patient with a prolapsed uterus. The authors describe the surgical technique and intraoperative challenges associated with accessing the pelvic cavity when the uterus is displaced outside the vaginal canal. They conclude that the procedure is technically feasible and safe, offering a minimally invasive alternative to open surgery in this specific anatomical scenario. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

PurposeThe association between cervical cancer and uterine prolapse is rare and sparsely represented in literature, despite the high incidence of the latter. The suitable treatment in this clinical situation is not defined. The objective of this article is to review published cases about this clinical condition.MethodsWe report a case of cervical cancer in prolapsed uterus treated with radical hysterectomy performed totally by laparoscopic approach, and review other case reports published about this clinical condition.ResultsWe present the first case reported in literature in our knowledge of cervical cancer in prolapsed uterus treated with radical hysterectomy performed totally by laparoscopic approach. Treatments previously reported are vaginal hysterectomies with adjuvant radiotherapy or concomitant chemo-radiotherapy.ConclusionsRadical hysterectomy can be correctly performed totally by laparoscopic approach even when cervical cancer is associated with severe uterine prolapse.
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The content is available as a PDF (2.2 MB). . 2010 Sep 10;282(Suppl 1):63–270. doi: 10.1007/s00404-010-1634-7 Posters Issue date 2010. © Springer-Verlag 2010 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. PMCID: PMC7103181 PMID: 20405294

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