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新辅助化疗后局部晚期宫颈癌的机器人根治性子宫切除术

Robotic radical hysterectomy after neoadjuvant chemotherapy in locally advanced cervical cancer.

作者信息

Vizza Enrico, Patrizi Lodovico, Saltari Maria, Sindico Stefano, Cimino Monica, Corrado Giacomo

机构信息

Gynecologic Oncology Unit, National Cancer Institute Regina Elena, Rome, Italy.

出版信息

Minim Invasive Ther Allied Technol. 2012 May;21(3):206-9. doi: 10.3109/13645706.2012.672426. Epub 2012 May 4.

Abstract

Neoadjuvant platinum-based chemotherapy (NACT) plus radical hysterectomy and pelvic lymphadenectomy has been demonstrated to be a valid alternative to chemoradiation in patients with advanced cervical cancer. Several publications have reported on the feasibility of robot-assisted laparoscopy in early cervical cancer. Herein is reported the case of a woman with locally advanced cervical cancer that was successfully treated using neoadjuvant chemotherapy followed by total robotic type C1 radical hysterectomy (TRRH) plus pelvic lymphadenectomy. The success of this approach, which is not the standard of care in this disease, suggests that additional studies should be performed in a selected population.

摘要

新辅助铂类化疗(NACT)联合根治性子宫切除术和盆腔淋巴结清扫术已被证明是晚期宫颈癌患者放化疗的有效替代方案。有几篇文献报道了机器人辅助腹腔镜手术在早期宫颈癌中的可行性。本文报道了一例局部晚期宫颈癌患者,通过新辅助化疗,随后行全机器人C1型根治性子宫切除术(TRRH)加盆腔淋巴结清扫术,成功治愈。这种方法并非该病的标准治疗方法,其成功表明应在特定人群中进行更多研究。

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