Laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early-stage cervical cancer
Background: We report the application of transuterine suspension sutures (TUSSs) for manipulation and vaginal closure before colpotomy in laparoscopic radical hysterectomy for early-stage cervical cancer. Methodology: Eight patients with clinical stage IB1 cervical squamous cell cancer were treated...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=4;spage=570;epage=572;aulast=Ding |
| _version_ | 1818730555783512064 |
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| author | Bo Ding Xiaoming Guan Kristina Duan Yang Shen |
| author_facet | Bo Ding Xiaoming Guan Kristina Duan Yang Shen |
| author_sort | Bo Ding |
| collection | DOAJ |
| description | Background: We report the application of transuterine suspension sutures (TUSSs) for manipulation and vaginal closure before colpotomy in laparoscopic radical hysterectomy for early-stage cervical cancer.
Methodology: Eight patients with clinical stage IB1 cervical squamous cell cancer were treated with laparoscopic radical hysterectomy between October 2019 and May 2020. The procedure was performed without a traditional uterine manipulator, and the vaginal cuff was closed with a stapler before colpotomy to prevent tumour spillage.
Results: All patients successfully underwent the surgery, with a median hospitalisation of 8 days (range 6–14). All drains and urethral catheters were removed after a median of 7 days (range 5–11) and 16 days (range 12–21), respectively. A median of 26 (range 20–32) pelvic lymph nodes were resected and no lymph-related complications were encountered post-operatively. With an enclosed colpotomy, no visible tumour tissues were exposed to the pelvic cavity, and all vaginal stumps healed well without complications. All pathological examinations of the vaginal margin were negative, and there were no residual lesions. At a median follow-up of 6 months, all patients were alive with no recurrence of disease.
Conclusion: We found that laparoscopic radical hysterectomy with TUSS and vaginal closure before colpotomy is a useful and effective procedure to prevent tumour spillage for the treatment of cervical cancer. |
| first_indexed | 2024-12-17T23:03:39Z |
| format | Article |
| id | doaj.art-76e3a36145e2467d8a7f31d4f02f0034 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-17T23:03:39Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-76e3a36145e2467d8a7f31d4f02f00342022-12-21T21:29:21ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212021-01-0117457057210.4103/jmas.JMAS_146_20Laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early-stage cervical cancerBo DingXiaoming GuanKristina DuanYang ShenBackground: We report the application of transuterine suspension sutures (TUSSs) for manipulation and vaginal closure before colpotomy in laparoscopic radical hysterectomy for early-stage cervical cancer. Methodology: Eight patients with clinical stage IB1 cervical squamous cell cancer were treated with laparoscopic radical hysterectomy between October 2019 and May 2020. The procedure was performed without a traditional uterine manipulator, and the vaginal cuff was closed with a stapler before colpotomy to prevent tumour spillage. Results: All patients successfully underwent the surgery, with a median hospitalisation of 8 days (range 6–14). All drains and urethral catheters were removed after a median of 7 days (range 5–11) and 16 days (range 12–21), respectively. A median of 26 (range 20–32) pelvic lymph nodes were resected and no lymph-related complications were encountered post-operatively. With an enclosed colpotomy, no visible tumour tissues were exposed to the pelvic cavity, and all vaginal stumps healed well without complications. All pathological examinations of the vaginal margin were negative, and there were no residual lesions. At a median follow-up of 6 months, all patients were alive with no recurrence of disease. Conclusion: We found that laparoscopic radical hysterectomy with TUSS and vaginal closure before colpotomy is a useful and effective procedure to prevent tumour spillage for the treatment of cervical cancer.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=4;spage=570;epage=572;aulast=Dingearly-stage cervical cancerenclosed colpotomylaparoscopic radical hysterectomytransuterine suspension suturesuterine manipulator |
| spellingShingle | Bo Ding Xiaoming Guan Kristina Duan Yang Shen Laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early-stage cervical cancer Journal of Minimal Access Surgery early-stage cervical cancer enclosed colpotomy laparoscopic radical hysterectomy transuterine suspension sutures uterine manipulator |
| title | Laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early-stage cervical cancer |
| title_full | Laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early-stage cervical cancer |
| title_fullStr | Laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early-stage cervical cancer |
| title_full_unstemmed | Laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early-stage cervical cancer |
| title_short | Laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early-stage cervical cancer |
| title_sort | laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early stage cervical cancer |
| topic | early-stage cervical cancer enclosed colpotomy laparoscopic radical hysterectomy transuterine suspension sutures uterine manipulator |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=4;spage=570;epage=572;aulast=Ding |
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