EN
Operation is recognized as the most effective method of treatment for removing cervical cancer in the initial stages of cancer success rate in up to 88-99%. To whom the cervical cancer operation is indicated? What are the types of operations? You can find about this in an article from MediGlobus.
MAIN INDICATIONS FOR SURGERY IN CERVICAL CANCER
The decision on the possible surgical removal of a uterine tumor is made by a doctor after a thorough diagnosis and determination of the stage of the disease.
The main indication for cervical cancer is the early stage of cancer development. Surgical treatment (included in combination with other methods of therapy) is most often possible at stage IA1, stages IA2, IB1, IB1 (if the tumor is operable), as well as in stage ІІA (if the size of the neoplasm does not exceed 4 cm). The degree of radicalization of the operation depends on the characteristics of the cancer process, as well as the need to preserve the fertility function.
TYPES OF CERVICAL CANCER OPERATIONS
For cancer of the cervix “in situ”, the operation is performed using minimally invasive methods, using laser and cryosurgery techniques. At the stage zero of squamous cell carcinoma of the uterus, surgery can be performed on an outpatient basis, with local anesthesia and within single visit to a specialist. These types of procedures include loop electroscission of the cervix and cryo conization.Laser conization most often requires general anesthesia, however, it is also a low-impact procedure and does not have a long list of negative postoperative complications.
In case of microinvasive cervical cancer, organ-preserving operations are also used, which are performed by laparoscopic and robotic surgery.
In case of cervical adenocarcinoma 0 and 1 stage, resection of tissues affected by the neoplastic process is performed — conization of the uterine cervix — an operation that preserves the chances of having children.
In stage 1 of uterine cancer, an operation to completely remove an organ can be indicated – total hysterectomy (in addition to the uterus itself, its appendages are removed).
After surgery, in stage 1 cervical cancer, radio and / or chemotherapy may be given to prevent future relapse. Surgery for cervical cancer in stage 2 also involves complete resection of the uterus and appendages, as well as para-aortic lymph nodes and small pelvic lymph nodes.
The gold standard for cervical cancer surgery is Wertheim operation. This method is used by surgeons from all over the world in various advanced versions.
Wertheim-Meigs Operation for cervical cancer involves resection of the uterus with appendages, the upper third of the vagina, circulatory tissues and regional (nearest) lymph nodes. This method involves the removal of adjacent healthy tissue, which minimizes the possibility of relapse.
In cervical cancer stage 3, the operation is performed extremely rare. Generally, radiotherapy and chemotherapy methods are used. However, in the 3A stage, when the malignant neoplasm is localized within the pelvis and the upper third of the vagina, an experienced surgeon can perform a radical operation. The possibility of an operation in combination with other methods of therapy increases the chances of recovery in stage 3A to 60%.
HOW IS THE SURGERY FOR CERVICAL CANCER PERFORMED AND HOW MANY HOURS IT TAKES?
To do this, prior to the beginning of the manipulations, the abdominal cavity is filled with gas in order to raise the abdominal wall and open access to the uterus. Further, tubes are inserted through small incisions. These create a path for the introduction of the instruments and the camera. Such an operation takes 1.5-3.5 hours.
In the best clinics of the world, a hysterectomy is performed with the help of a da Vinci Robot. Such an operation is recognized as the most gentle and efficient, since high accuracy of removal of the affected tissues is ensured.
Robot’s tools are inserted through minimal incisions, and all of its movements are controlled by a surgeon who sees the field of operation in 3D with multiple magnification. This method preserves the sexual function of patients and provides a small blood loss, and the operation itself lasts only 1 hour.
PREPARING FOR UTERINE CANCER SURGERY
Before an operation, a series of examinations are prescribed. Based on the results of diagnosis and communication with the patient, the final decision on the type of operation is made. However, before the operation, it is necessary to give consent to a more radical intervention in case of emergency. The patient can choose the type of anesthesia: general anesthesia or epidural anesthesia (local anesthesia by injecting the drug into the epidural space of the spine).
The day before the operation, a woman should go on a light meal. Also, some doctors prescribe taking sedatives. Before surgery, you must take a shower, remove hair from the pubic area, stop food and fluids (for 6-8 hours), clean the intestines (put an enema). The operation is scheduled for the period from the end of the month to the onset of ovulation.
HOW LONG DO THE PATIENTS LIVE AFTER UTERINE CANCER SURGERY
The prognosis after surgery for cervical cancer is quite comforting, since the surgical treatment and its combination with other methods give the highest chances of survival. To minimize the chance of recurrence after surgery for cervical cancer, radiation therapy and / or chemotherapy are performed. Survival rate after cervical cancer in stages 1 and 2A reaches 88-99% (if lymph nodes are not affected). If the lymph nodes are affected, the prognosis of the treatment of the disease at stages 1, 2 decreases to 50-74%.
- Radical hysterectomy in Turkey – $ 10,000-15,000;
- Subtotal hysterectomy in Turkey – $ 6,000-8,000;
- Conization of the cervix in Turkey – $ 4,000-6,000.
COST OF THE CERVICAL CANCER OPERATION
Testimonial about Cervical Cancer Surgery
“In 2016, we found out that aunt had cervical cancer. They refused us to have surgery at the local hospital. Put 3 suspicions on the 4th stage and offered only palliative treatment. We did not accept this fact and decided to go for additional diagnostics in Israel. They identified it as stage 3A. Diagnosis took place in the Assuta clinic, and in the Ichilov clinic there was a doctor who undertook her for surgery. A radical hysterectomy was performed, operated by prof. Dan Grisaro. Now the disease has receded, aunt feels good. We are very glad that we didn’t accept it, but decided to fight, turned to real professionals who helped us with this … ”Christina, Belarus.
