Authors: | Zivanovic, O.; Chi, D. S. |
Article Title: | Surgical resection and reconstruction for advanced and recurrent gynecologic malignancies |
Abstract: | The treatment of gynecologic malignancies entails surgery, systemic therapy and radiation therapy. Depending on the primary disease site and extent of the disease, the treatment strategies are applied alone or in combination. Over the past few decades, specialist knowledge and understanding of the pathophysiology and behavior of gynecologic neoplasms has led to a significant improvement in the relevant treatment modalities. The surgical management of gynecologic malignancies has evolved from the simple hysterectomy to more comprehensive staging procedures that are of pivotal importance for improving and estimating the prognosis and guiding the treatment of affected patients. These sometimes complex procedures encompass radical pelvic and upper abdominal surgery, including the associated urologic and intestinal procedures that are required to adequately resect the neoplasm. In this article, we will review and summarize the literature on the surgical resection and reconstruction of advanced and recurrent gynecologic malignancies with a focus on ovarian, endometrial and cervical cancers. © 2008 Expert Reviews Ltd. |
Keywords: | surgical technique; clinical trial; review; advanced cancer; patient selection; treatment duration; postoperative care; cancer staging; outcome assessment; recurrent cancer; hysterectomy; endometrium cancer; preoperative evaluation; salpingooophorectomy; treatment indication; cytoreductive surgery; ovary cancer; lung embolism; disease severity; minimal residual disease; uterine cervix cancer; urinary diversion; endoscopic surgery; pelvis exenteration; surgical mortality; intermethod comparison; clinical effectiveness; cytoreduction; postoperative hemorrhage; gynecologic cancer; abdominal hysterectomy; cerebrovascular accident; abdominal disease; urinary tract fistula; septicemia; pelvis abscess; pelvic exenteration; digestive system fistula; upper abdominal surgery; compartmentalized surgery |
Journal Title: | Expert Review of Obstetrics and Gynecology |
Volume: | 3 |
Issue: | 5 |
ISSN: | 1747-4108 |
Publisher: | Informa Healthcare |
Date Published: | 2008-09-01 |
Start Page: | 677 |
End Page: | 690 |
Language: | English |
DOI: | 10.1586/17474108.3.5.677 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | --- - "Export Date: 17 November 2011" - "Source: Scopus" |