TY - JOUR
T1 - Nerve-sparing radical hysterectomy in cervical cancer
T2 - Evolution of concepts
AU - Raspagliesi, Francesco
AU - Ditto, Antonino
AU - Hanozet, Francesco
AU - Martinelli, Fabio
AU - Solima, Eugenio
AU - Zanaboni, Flavia
AU - Kusamura, Shigeki
AU - Fontanelli, Rosanna
PY - 2007/10
Y1 - 2007/10
N2 - Objectives.: This paper reviews the evolution of concepts concerning the nerve-sparing radical hysterectomy (NSRH) in cervical cancer. Methods.: Research studies published between 1991 and 2006 were reviewed. Results.: Significant progress has been made in understanding the neuroanatomy and the neurophysiology of autonomic pelvic plexus. The ideal surgical management of cervical cancer patients should be tailored on the basis of prognostic factors and quality of life. Within the discussion concerning the optimal level of radicality of hysterectomy, which is still controversial, the new concept of NSRH has to be considered in order to reduce morbidity without compromising the oncological disease control. Surgical strategies have been developed to spare the autonomic functions with promising results. Conclusions.: To date, there is a growing body of data about NSRH in cervical cancer. However, there is not yet a consensus concerning to which part of uterine support ligaments a NS approach should be directed.
AB - Objectives.: This paper reviews the evolution of concepts concerning the nerve-sparing radical hysterectomy (NSRH) in cervical cancer. Methods.: Research studies published between 1991 and 2006 were reviewed. Results.: Significant progress has been made in understanding the neuroanatomy and the neurophysiology of autonomic pelvic plexus. The ideal surgical management of cervical cancer patients should be tailored on the basis of prognostic factors and quality of life. Within the discussion concerning the optimal level of radicality of hysterectomy, which is still controversial, the new concept of NSRH has to be considered in order to reduce morbidity without compromising the oncological disease control. Surgical strategies have been developed to spare the autonomic functions with promising results. Conclusions.: To date, there is a growing body of data about NSRH in cervical cancer. However, there is not yet a consensus concerning to which part of uterine support ligaments a NS approach should be directed.
KW - Nerve-sparing techniques
KW - Radical hysterectomy
KW - Surgical oncology
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U2 - 10.1016/j.ygyno.2007.07.020
DO - 10.1016/j.ygyno.2007.07.020
M3 - Article
C2 - 17727932
AN - SCOPUS:34748862545
VL - 107
JO - Gynecologic Oncology
JF - Gynecologic Oncology
SN - 0090-8258
IS - 1 SUPPL.
ER -