Cervical Cancer Clinical Trial
Official title:
Feasibility and Functional Outcome of Laparoscopic Nerve Sparing Radical Hysterectomy
The aim of this study is to assess:
1. Evaluation of the feasibility of laparoscopic nerve sparing radical hysterectomy type
III/C1 as regard surgical technique, blood loss and operative time.
2. Evaluate patients' outcome as regard bladder function.
in order to preserve the function of the bladder and the rectum, it is necessary to modify
the traditional procedures, so as to identify the precise anatomical information directing
the technique for optimal preservation of bladder function at the time of radical
hysterectomy.
The laparoscopic technique offers several well-known advantages. Under the magnified view of
the laparoscope, the anatomy can be clearly visualized to allow for the meticulous and
precise dissection of the para-cervical structures and areolar tissue, including the blood
vessels and the nerves.
Laparoscopic identification (neurolysis) of the inferior hypogastric nerve and inferior
hypogastric plexus is a feasible procedure for trained laparoscopic surgeons who have a good
knowledge not only of the retroperitoneal anatomy but also of the pelvic neuro-anatomy as
this qualification could prohibit long-term bladder and voiding dysfunction during
nerve-sparing radical hysterectomy
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