6533b827fe1ef96bd1287089

RESEARCH PRODUCT

Laparoscopic Total Mesometrial Resection (L-TMMR)

Alessandro LucidiGiuseppe VizzielliVito Chiantera

subject

Cervical cancermedicine.medical_specialtySurgical approachRadical Hysterectomybusiness.industryTumor resectionCervical Cancermedicine.diseaseSurgeryFertility sparing surgeryResectionSurgical anatomymedicineRadical HysterectomybusinessTMMR

description

Abdominal radical hysterectomy and pelvic lymph node dis- section as introduced by Wertheim and Meigs [1–2] first in the beginning of the century is still regarded as “gold stan- dard” in the surgical treatment of the uterine cervix carci- noma, FIGO stages IA2-IB and IIA. The resection of the parametrial and paracervical tissues proposed by the conventional radical hysterectomy is based on a “centrifu- gal diffusion” from the center of the tumor on the direction of the parametrial (dorsal, lateral and ventral) highways. This imply a classic functional and ligament-focused view of the surgical anatomy.

yearjournalcountryeditionlanguage
2017-09-15
https://doi.org/10.1007/978-3-319-22497-8_43