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Archives of Gynecology and Obstetrics

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01.11.2013 | Review

The role of uterine manipulators in endometrial cancer recurrence after laparoscopic or robotic procedures

verfasst von: Christos Iavazzo, Ioannis D. Gkegkes

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2013

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Abstract

Introduction

The evolution of minimally invasive surgery has been established and both laparoscopic- and robotic-assisted techniques can be presented as valuable alternatives to traditional approaches for the treatment of gynecological cancers, such as endometrial cancer. During laparoendoscopic procedures, the upward traction to the uterus is considered fundamental. The application of uterine manipulators in hysterectomy can facilitate diverse tasks to lead to a safe and successful surgical outcome. Some authors have raised their concern that the use of uterine manipulators might increase the incidence of tumor cell dissemination among patients with endometrial cancers.

Methods

We performed a literature search with terms related to the role of uterine manipulators in endometrial cancer recurrence in PubMed and Scopus.

Results

Six articles were identified dealing with this issue. Even though, the available clinical evidence suggests that the application of uterine manipulators has no clear correlation with the recurrence of the endometrial carcinoma, the existing trials are of low methodological quality.

Conclusion

Further investigation is necessary for the clarification of the influence of the different types of uterine manipulators in cancer recurrence.

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Titel: The role of uterine manipulators in endometrial cancer recurrence after laparoscopic or robotic procedures
verfasst von: Christos Iavazzo
Ioannis D. Gkegkes
Publikationsdatum: 01.11.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 5/2013
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-013-3031-5

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The role of uterine manipulators in endometrial cancer recurrence after laparoscopic or robotic procedures

Abstract

Introduction

Methods

Results

Conclusion

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Introduction

Methods

Results

Conclusion

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