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| Name | Laparoscopic radical hysterectomy - Isterectomia radicale laparoscopica |
| Video Uploader | Video From MALZONICHANNEL |
| Upload Date | This Video Uploaded At 15-02-2012 01:23:05 |
| Video Discription | EDITOR IN CHIEF: ALFONSO RUGGIERO,MD THIS VIDEO PRESENTS A CASE OF CERVICAL CANCER STAGE IB1 (REVISED FIGO STAGING NOMENCLATURE 2009) TREATED WITH LAPAROSCOPIC NERVE SPARING RADICAL HYSTERECTOMY type C1 (ACCORDING WITH MORROW-QUERLEU CLASSIFICATION OF RADICAL HYSTERECTOMY- Lancet Oncol 2008; 9: 297--303) AND BILATERAL PELVIC LYMPHADENECTOMY. THIS TYPE OF HYSTERECTOMY IS BASED ON THE TRANSECTION OF THE UTEROSACRAL LIGAMENT AT THE RECTUM AND VESICOUTERINE LIGAMENT AT THE BLADDER. THE URETER IS MOBILISED COMPLETELY. TYPE C CORRESPONDS TO VARIANTS OF CLASSICAL RADICAL HYSTERECTOMY. BY CONTRAST WITH TYPES A AND B, IN WHICH THE AUTONOMIC NERVE SUPPLY TO THE BLADDER IS NOT THREATENED, THE ISSUE OF NERVE PRESERVATION IS CRUCIAL. TWO SUBCATEGORIES ARE DEFINED: C1 WITH NERVE PRESERVATION; AND C2 WITHOUT PRESERVATION OF AUTONOMIC NERVES. IN C1, THE SACROUTERINE LIGAMENT IS TRANSECTED AFTER SEPARATION OF THE HYPOGASTRIC NERVES. THE NERVE IS IDENTIFIED SYSTEMATICALLY AND PRESERVED BY TRANSECTION OF ONLY THE UTERINE BRANCHES OF THE PELVIC PLEXUS. THE BLADDER BRANCHES OF THE PELVIC PLEXUS ARE PRESERVED IN THE LATERAL LIGAMENT OF THE BLADDER. SURGERY IS CONDUCTED BY DR. MARIO MALZONI. |
| Category | Science & Technology |
| Tags | Hysterectomy | Laparoscopic Surgery | cervical cancer | cancro della cervice | isterectomia radicale | linfoadenectomia pelvica | nerve sparing | laparoscopic Lymphadenectomy | malzoni | ruggiero |
