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Federación Mexicana de Ginecología y Obstetricia, A.C.

2021, Número 10

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Ginecol Obstet Mex 2021; 89 (10)


Tratamiento quirúrgico del cáncer de cuello uterino en estadio temprano: revisión de la bibliografía

Santa María-Ortiz JK, Bermúdez-González M

Idioma: Español
Referencias bibliográficas: 42
Paginas: 802-809
Archivo PDF: 218.23 Kb.


RESUMEN

Antecedentes: La vía de acceso quirúrgico para el tratamiento de pacientes con cáncer de cuello uterino en estadio temprano ha demostrado, durante muchos años, los mismos desenlaces que la vía abierta y la mínimamente invasiva, aunque con menores complicaciones teóricas con esta última.
Objetivo: Describir la evidencia actual acerca de la vía de acceso óptima para el tratamiento quirúrgico de las pacientes con cáncer de cuello uterino en estadio temprano.
Metodología: Estudio retrospectivo efectuado mediante una revisión bibliográfica en las bases de datos de Pubmed, EMBASE, Web of Science y CINAHL, en febrero del 2021, de artículos publicados entre el 2017 y el 2021. Se utilizaron las palabras clave (MeSH): early cervical cancer, minimally invasive surgery, Open Radical Hysterectomy, intra-uterine manipulator. Se excluyeron los artículos publicados en otros idiomas diferentes al inglés.
Resultados: De lo revisado se plantea la hipótesis de que la cirugía abierta permite mayor tracción anterior del útero que, de esta manera, facilita una resección más amplia de los ligamentos úterosacros y los parametrios.
Conclusiones: La vía de acceso mínimamente invasiva ha tenido peores desenlaces en términos de supervivencia libre de enfermedad y global, en comparación con la vía abierta. Se propone reconsiderar la vía de acceso abierta como patrón de referencia del tratamiento quirúrgico para pacientes con cáncer de cuello uterino en estadio temprano.


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