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Zervixkarzinom

Laparoskopisch assistierte vaginale Operationstechniken

Cervical carcinoma

Laparoscopically assisted vaginal surgical techniques

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Der Gynäkologe Aims and scope

Zusammenfassung.

Für die Behandlung von Patientinnen mit frühem Zervixkarzinom stehen laparoskopisch assistierte vaginale Operationsverfahren wie die laparoskopisch assistierte radikale vaginale Hysterektomie (LARVH) und die radikale vaginale Trachelektomie (RVT) zur Verfügung. Die Laparoskopie erlaubt eine sichere regionäre Ausbreitungsdiagnostik, insbesondere zur Evaluierung des wichtigsten Prognosefaktors für das Zervixkarzinom, des Lymphknotenstatus. Beide Methoden haben ihre onkologische Sicherheit in prospektiven Studien bewiesen. Die geringe Morbidität verbunden mit einer schnellen Rekonvaleszenz lassen sie für ausgewählte Patientinnen eine valide Alternative zur offenen radikalen Chirurgie des Zervixkarzinoms werden.

Abstract

For the treatment of early-stage cervical carcinomas, laparoscopic vaginal surgical methods include laparoscopically assisted radical vaginal hysterectomy and radical vaginal trachelectomy. Laparoscopy is safe for diagnosing local tumor extent, evaluating the main prognostic factors in cervical cancer, and assessing lymph node status. The oncologic safety of both techniques has been proven in prospective studies. Their low associated morbidity and fast recovery allow a valid alternative to open radical resection, for eligible patients.

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Authors and Affiliations

  1. Zentrum Frauenheilkunde, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland

    H. Hertel & P. Hillemanns

  2. Abteilung für Frauenheilkunde und gynäkologische Onkologie, Universitätsmedizin Berlin, Charite, Berlin, Deutschland

    A. Schneider

  3. Universitätsklinikum Schleswig Holstein, Campus Lübeck, Lübeck, Deutschland

    C. Altgassen

Authors
  1. H. Hertel
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  2. A. Schneider
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  3. C. Altgassen
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  4. P. Hillemanns
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Correspondence to H. Hertel.

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Hertel, H., Schneider, A., Altgassen, C. et al. Zervixkarzinom. Gynäkologe 41, 355–360 (2008). https://doi.org/10.1007/s00129-008-2131-y

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  • DOI: https://doi.org/10.1007/s00129-008-2131-y

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