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Learning Laparoscopic Radical Hysterectomy: Are We Facing an Emerging Situation?

Despite wide screening campaigns and early detection, cervical cancer remains the fourth most common cancer among women. Radical hysterectomy, whether by open, laparoscopic or by robotic-assisted techniques, is the mainstay treatment. However, for adequate surgical results and good oncological progn...

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Autores principales: Moufawad, Graziella, Laganà, Antonio Simone, Habib, Nassir, Chiantera, Vito, Giannini, Andrea, Ferrari, Federico, Vitagliano, Amerigo, Della Corte, Luigi, Bifulco, Giuseppe, Sleiman, Zaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915887/
https://www.ncbi.nlm.nih.gov/pubmed/36767419
http://dx.doi.org/10.3390/ijerph20032053
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author Moufawad, Graziella
Laganà, Antonio Simone
Habib, Nassir
Chiantera, Vito
Giannini, Andrea
Ferrari, Federico
Vitagliano, Amerigo
Della Corte, Luigi
Bifulco, Giuseppe
Sleiman, Zaki
author_facet Moufawad, Graziella
Laganà, Antonio Simone
Habib, Nassir
Chiantera, Vito
Giannini, Andrea
Ferrari, Federico
Vitagliano, Amerigo
Della Corte, Luigi
Bifulco, Giuseppe
Sleiman, Zaki
author_sort Moufawad, Graziella
collection PubMed
description Despite wide screening campaigns and early detection, cervical cancer remains the fourth most common cancer among women. Radical hysterectomy, whether by open, laparoscopic or by robotic-assisted techniques, is the mainstay treatment. However, for adequate surgical results and good oncological prognosis, a gynecological surgeon should be trained to perform those procedures. The learning curve of radical hysterectomy, especially by laparoscopy, is influenced by several factors. The LACC trial, the decrease in cervical cancer incidence and radical hysterectomy procedures have widely reduced the learning curve for surgeons. This article mainly discusses the learning curve of laparoscopic radical hysterectomy for cervical cancers, and how several factors are influencing it negatively, with the need to have medical authorities reset specific surgical training programs and allocate them to special oncological centers.
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spelling pubmed-99158872023-02-11 Learning Laparoscopic Radical Hysterectomy: Are We Facing an Emerging Situation? Moufawad, Graziella Laganà, Antonio Simone Habib, Nassir Chiantera, Vito Giannini, Andrea Ferrari, Federico Vitagliano, Amerigo Della Corte, Luigi Bifulco, Giuseppe Sleiman, Zaki Int J Environ Res Public Health Perspective Despite wide screening campaigns and early detection, cervical cancer remains the fourth most common cancer among women. Radical hysterectomy, whether by open, laparoscopic or by robotic-assisted techniques, is the mainstay treatment. However, for adequate surgical results and good oncological prognosis, a gynecological surgeon should be trained to perform those procedures. The learning curve of radical hysterectomy, especially by laparoscopy, is influenced by several factors. The LACC trial, the decrease in cervical cancer incidence and radical hysterectomy procedures have widely reduced the learning curve for surgeons. This article mainly discusses the learning curve of laparoscopic radical hysterectomy for cervical cancers, and how several factors are influencing it negatively, with the need to have medical authorities reset specific surgical training programs and allocate them to special oncological centers. MDPI 2023-01-22 /pmc/articles/PMC9915887/ /pubmed/36767419 http://dx.doi.org/10.3390/ijerph20032053 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Perspective
Moufawad, Graziella
Laganà, Antonio Simone
Habib, Nassir
Chiantera, Vito
Giannini, Andrea
Ferrari, Federico
Vitagliano, Amerigo
Della Corte, Luigi
Bifulco, Giuseppe
Sleiman, Zaki
Learning Laparoscopic Radical Hysterectomy: Are We Facing an Emerging Situation?
title Learning Laparoscopic Radical Hysterectomy: Are We Facing an Emerging Situation?
title_full Learning Laparoscopic Radical Hysterectomy: Are We Facing an Emerging Situation?
title_fullStr Learning Laparoscopic Radical Hysterectomy: Are We Facing an Emerging Situation?
title_full_unstemmed Learning Laparoscopic Radical Hysterectomy: Are We Facing an Emerging Situation?
title_short Learning Laparoscopic Radical Hysterectomy: Are We Facing an Emerging Situation?
title_sort learning laparoscopic radical hysterectomy: are we facing an emerging situation?
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915887/
https://www.ncbi.nlm.nih.gov/pubmed/36767419
http://dx.doi.org/10.3390/ijerph20032053
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