The prognostic implications associated with the resection of all visible residual disease in patients with advanced-stage ovarian cancer have been clearly established in several retrospective and nonrandomized prospective studies. In 2013, Landrum and colleagues detailed the survival outcomes of patients…
Background The current standard of care for advanced epithelial ovarian cancer (AEOC) is a combination of cytoreductive surgery and paclitaxel and platinum-based chemotherapy. The size of residual disease has been repeatedly proven to be a crucial prognostic factor for affected…
The majority of patients with endometrial cancer have early-stage uterine-confined disease at presentation. However, many patients will still undergo a complete pelvic and sometimes paraaortic lymphadenectomy for staging purposes despite having disease confined to the uterus, resulting in prolonged operating…
The mainstay of treatment in patients affected by endometrial cancer is surgery, including simple hysterectomy and bilateral salpingo-oophorectomy with or without lymphadenectomy. Regardless of the stage of disease, removal of the uterus is recommended in every patient unless there are…
Along with ovarian cancer debulking and radical hysterectomy, pelvic and paraaortic lymph node dissections are procedures that define gynecologic oncology. Complete pelvic and paraaortic lymphadenectomies (open and transperitoneal) for staging in early-stage cervical cancer are similar in approach to procedures…
According to National Comprehensive Cancer Network (NCCN) guidelines, radical hysterectomy is the preferred treatment for patients with histologically confirmed stage IB1 to IIA1 cervical cancer who are not interested in future fertility. Radical hysterectomy requires comprehensive knowledge of pelvic anatomy…
∗ The authors also wish to thank the following individuals for their contributions to this chapter: Charlotte Ngo, Myriam Deloménie, Chérazade Bensaid, Caroline Cornou, Léa Rossi, and Marie Gosset. In early cervical cancer (ECC)—that is, International Federation of Gynecology and…
The standard treatment for women with early-stage cervical cancer (stages IA2–IB1) remains radical hysterectomy with pelvic lymphadenectomy. In select patients interested in future fertility, radical trachelectomy with pelvic lymphadenectomy is also considered a viable option. Data from retrospective studies have…
In the past 100 years, the surgical approach to vulvar cancer has evolved from one of gynecologic oncology’s most morbid procedures to one of its least. The original approach included the radical en bloc resection of the vulva, groins, and…
Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative care pathway to improve functional rehabilitation after a surgical procedure, reducing the patient’s stress response in reaction to the operation and postoperative catabolism. The concept was first introduced by Kehlet, who…