|
|
|
|
|
|
|
|
Abstract
Latest
surgical advances in the field of gynaecological oncology, a
sub-specialty of gynaecology, are reviewed in this chapter. The surgery
is mainly practised in cancer centres by board-certified gynaecologists,
and requires a 2–3 year period of additional training in gynaecological
oncology. Surgical treatment of gynaecological malignancies has
progressed in two directions: reduction of the invasiveness of the
surgery and expansion of the number and type of procedures performed.
Gynaecological oncology focuses on the pelvis to the upper abdomen and
the thorax to target (all visible disease) the last cancer cell in women
with advanced ovarian cancer. Minimal-access surgery has evolved to
include any operation by laparoscopy. It uses fewer ports (single-port
surgery), and robotic assistance improves the comfort of the surgeon.
The concept of fertility-sparing surgery for women with cervical cancer
is now supported by mature data. The indication and the aggressiveness
of the exenterative surgery are also broader than originally
recommended. The ideal timing of surgery is under investigation in
several areas, mainly in women with ovarian and cervical cancer. The aim
is to reduce morbidity and mortality of surgical procedures while
maintaining the survival outcome.
0 comments :
Post a Comment
Your comments?
Note: Only a member of this blog may post a comment.