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العنوان
Feasibility and functional outcome of laparoscopic nerve sparing radical hysterectomy /
المؤلف
Gab-Allah, Khaled Mohamed Ahmed.
هيئة الاعداد
باحث / خالد محمد أحمد جاب الله
مشرف / عادل طه دنيور
مشرف / أشرف عبدالفتاح نصر خاطر
مشرف / فايز شحتو محمود
مشرف / جيوفاني سكامبيا
مناقش / أشرف سعد زغلول
مناقش / محمد طاهر الشبكي
الموضوع
Uterus - Surgery. Laparoscopic surgery. Hysterectomy.
تاريخ النشر
2018.
عدد الصفحات
108 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
علم الأورام
تاريخ الإجازة
01/09/2018
مكان الإجازة
جامعة المنصورة - كلية الطب - Department of Tumor Surgery
الفهرس
Only 14 pages are availabe for public view

from 108

from 108

Abstract

Cervical cancer is one of the leading gynecological malignancies with cancer related deaths in many countries worldwide. Type III radical hysterectomy with pelvic lymphadenectomy is considered to be the effective treatment for early-stage cervical cancer but with postoperative morbidity. The laparoscopic nerve sparing radical hysterectomy technique is considered a better technique to decrease the incidence of postoperative complications. Evaluation of the feasibility of laparoscopic nerve sparing radical hysterectomy as regard surgical outcome and postoperative bladder function.46 patients were enrolled into the study divided into two arms; first include 30 patients who underwent laparoscopic nerve sparing radical hysterectomy technique while the other included 16 patients who underwent laparoscopic conventional surgery. Significant better results were observed in terms of postoperative bladder function, the study reported a median duration of postoperative bladder catheterization 3.5 (3-5) days after LNSRH and 6(4-8.5) days after type C2 radical hysterectomy to achieve a PVR urine volume less than 100 ml (P=0.002). Laparoscopic identification and dissection of the pelvic autonomic nerves during NSRH is feasible for well-trained laparoscopic surgeons who have a good knowledge of the pelvic anatomy and this provides better functional outcome without affecting the oncological safety of the procedure, however we suggest the conduction of future prospective randomized controlled trials with a larger sample size to consolidate these results.