Radical hysterectomy(RH) and pelvic lymphadenectomy are the main treatment methods for early cervical cancer and endometrial carcinoma.Effective care measures,however,can decrease the incidence of UTIs and complicatio...Radical hysterectomy(RH) and pelvic lymphadenectomy are the main treatment methods for early cervical cancer and endometrial carcinoma.Effective care measures,however,can decrease the incidence of UTIs and complications associated with RH and pelvic lymphadenectomy,as well as improve the therapeutic effects of administered drugs and patient prognosis.The writer refers to relevant literatures to analyze the reasons for postoperative UTIs and to provide a brief summary of the nursing methods for and progress in UTI prevention.展开更多
Objective The aim of this research was to study the prognostic significance of the number of pelvic lymph nodes removed in patients with early cervical cancer.Methods We searched the Pub Med database using the terms &...Objective The aim of this research was to study the prognostic significance of the number of pelvic lymph nodes removed in patients with early cervical cancer.Methods We searched the Pub Med database using the terms "cervical cancer" and "lymph nodes" or "lymphadenectomy". Studies on the association between number of lymph nodes removed and prognosis or survival were identified. We retrospectively studied the relevant research.Results Ten retrospective studies were included. Two studies indicated that the number of lymph nodes had no association with prognosis whereas three studies found a positive relationship. Five studies indicated some factors that could influence the relationship between number of lymph nodes and prognosis.Conclusion The number of lymph nodes removed may positively influence the prognosis of patients with cervical cancer. Some factors may influence the relationship between the extent of lymph nodes removed and patient prognosis. Additional multicenter, prospective studies with large samples are required to confirm the study findings.展开更多
Open inguinal lymphadenectomy is a necessary conventional management for the lower genitourinary malignancies,but the associated morbidity remains an issue for the conventional surgical approach.Video endoscopic ingui...Open inguinal lymphadenectomy is a necessary conventional management for the lower genitourinary malignancies,but the associated morbidity remains an issue for the conventional surgical approach.Video endoscopic inguinal lymphadenectomy via the limb subcutaneous approach （VEIL-L） has recently been reported as a potentially less invasive alternative to the open inguinal lymphadenectomy for patients with some genitourinary malignancies.1-4 The concept of VEIL-L was first described by the French gynecologists.1-2 Since then,this procedure has undergone a few technical changes.The triangular working space can be obtained by introducing the laparoscopic instruments through three1,2,4 or a single working port3 in the limbs.Thus,laparoscopic pelvic lymphadenectomy （LPL） had to be performed with three or more abdominal working ports if the frozen section revealed positive deep inguinal nodes.To avoid the need to operate both through the limb and the abdomen in this situation,a new approach described in this paper should resolve the issue of the number of access routes with the possible better reduction of infection and morbidity from wound breakdown.展开更多
Radical trachelectomy （RT） is a fertility-sparing treatment for young women with early-stage cervical cancer. We report here a case of a 30-year-old nulliparous woman who presented with stage IA2 cervical squamous c...Radical trachelectomy （RT） is a fertility-sparing treatment for young women with early-stage cervical cancer. We report here a case of a 30-year-old nulliparous woman who presented with stage IA2 cervical squamous cancer. She was treated with total laparoscopic radical trachelectomy （TLRT） and laparoscopic pelvic lymphadenectomy （LPL）. During this procedure, the ascending branches of uterine arteries were preserved. No metastasis was identified after fourteen months of follow-up. The menstrual pattern normalized and the patient has been attempting to conceive for two months.TLRT might be a safe fertility-preserving procedure for early-stage cervical cancer, due to its minimally invasive nature and shorter recovery time. However, more data are required on recurrence rate, fertility rate and pregnancy outcome in order to fully evaluate the therapeutic efficacy of TLRT.展开更多
文摘Radical hysterectomy(RH) and pelvic lymphadenectomy are the main treatment methods for early cervical cancer and endometrial carcinoma.Effective care measures,however,can decrease the incidence of UTIs and complications associated with RH and pelvic lymphadenectomy,as well as improve the therapeutic effects of administered drugs and patient prognosis.The writer refers to relevant literatures to analyze the reasons for postoperative UTIs and to provide a brief summary of the nursing methods for and progress in UTI prevention.
文摘Objective The aim of this research was to study the prognostic significance of the number of pelvic lymph nodes removed in patients with early cervical cancer.Methods We searched the Pub Med database using the terms "cervical cancer" and "lymph nodes" or "lymphadenectomy". Studies on the association between number of lymph nodes removed and prognosis or survival were identified. We retrospectively studied the relevant research.Results Ten retrospective studies were included. Two studies indicated that the number of lymph nodes had no association with prognosis whereas three studies found a positive relationship. Five studies indicated some factors that could influence the relationship between number of lymph nodes and prognosis.Conclusion The number of lymph nodes removed may positively influence the prognosis of patients with cervical cancer. Some factors may influence the relationship between the extent of lymph nodes removed and patient prognosis. Additional multicenter, prospective studies with large samples are required to confirm the study findings.
文摘Open inguinal lymphadenectomy is a necessary conventional management for the lower genitourinary malignancies,but the associated morbidity remains an issue for the conventional surgical approach.Video endoscopic inguinal lymphadenectomy via the limb subcutaneous approach （VEIL-L） has recently been reported as a potentially less invasive alternative to the open inguinal lymphadenectomy for patients with some genitourinary malignancies.1-4 The concept of VEIL-L was first described by the French gynecologists.1-2 Since then,this procedure has undergone a few technical changes.The triangular working space can be obtained by introducing the laparoscopic instruments through three1,2,4 or a single working port3 in the limbs.Thus,laparoscopic pelvic lymphadenectomy （LPL） had to be performed with three or more abdominal working ports if the frozen section revealed positive deep inguinal nodes.To avoid the need to operate both through the limb and the abdomen in this situation,a new approach described in this paper should resolve the issue of the number of access routes with the possible better reduction of infection and morbidity from wound breakdown.
文摘Radical trachelectomy （RT） is a fertility-sparing treatment for young women with early-stage cervical cancer. We report here a case of a 30-year-old nulliparous woman who presented with stage IA2 cervical squamous cancer. She was treated with total laparoscopic radical trachelectomy （TLRT） and laparoscopic pelvic lymphadenectomy （LPL）. During this procedure, the ascending branches of uterine arteries were preserved. No metastasis was identified after fourteen months of follow-up. The menstrual pattern normalized and the patient has been attempting to conceive for two months.TLRT might be a safe fertility-preserving procedure for early-stage cervical cancer, due to its minimally invasive nature and shorter recovery time. However, more data are required on recurrence rate, fertility rate and pregnancy outcome in order to fully evaluate the therapeutic efficacy of TLRT.
