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Titolo:
LAPAROSCOPIC OVARIAN TRANSPOSITION FOR PELVIC MALIGNANCIES - INDICATIONS AND FUNCTIONAL OUTCOMES
Autore:
MORICE P; CASTAIGNE D; HAIEMEDER C; PAUTIER P; ELHASSAN J; DUVILLARD P; GERBAULET A; MICHEL G;
Indirizzi:
INST GUSTAVE ROUSSY,SERV CHIRURG GYNECOL,39 RUE CAMILLE DESMOULINS F-94805 VILLEJUIF FRANCE
Titolo Testata:
Fertility and sterility
fascicolo: 5, volume: 70, anno: 1998,
pagine: 956 - 960
SICI:
0015-0282(1998)70:5<956:LOTFPM>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
CERVICAL-CANCER; IRRADIATION; PRESERVATION;
Keywords:
OVARIAN TRANSPOSITION; LAPAROSCOPY; PELVIC CANCER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
P. Morice et al., "LAPAROSCOPIC OVARIAN TRANSPOSITION FOR PELVIC MALIGNANCIES - INDICATIONS AND FUNCTIONAL OUTCOMES", Fertility and sterility, 70(5), 1998, pp. 956-960

Abstract

Objective: To assess the indications and effectiveness of laparoscopic ovarian transposition before pelvic irradiation for a gynecologic cancer. Design: Prospective study. Setting: A gynecologic oncology department in a French anti-cancer center. Patient(s): Twenty-four patientstreated for pelvic cancer. Intervention(s): Laparoscopic ovarian transposition to paracolic gutters. Uterine conservation in 18 patients. Main Outcome Measure(s): Clinical and laboratory follow-up tests of ovarian function. Result(s): Bilateral laparoscopic ovarian transpositionwas achieved in 22 patients (94%). Twelve patients were treated for clear cell adenocarcinoma of the cervix and/or upper vagina, 6 patientsfor invasive squamous cervical carcinoma, 3 patients for pelvic sarcoma, 1 patient for recurrent cervical cancer to the upper vagina, 1 patient for ependymoma of the cauda equina, and 1 patient for ovarian dysgerminoma. Ovarian preservation was achieved in 79%. Three pregnancieswere obtained. Conclusion(s): Laparoscopic ovarian transposition is asafe and effective procedure for preserving ovarian function. Bilateral ovarian transposition should be performed. The main indications forlaparoscopic ovarian transposition are a patient with a small invasive cervical carcinoma (<2 cm) in a patient <40 years of age who is treated by initial laparoscopically assisted vaginal radical hysterectomy and a patient with a clear cell adenocarcinoma of the cervix and uppervagina. (Fertil Steril(R) 1998;70:956-60 (C) 1998 by American Societyfor Reproductive Medicine.).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 17:15:28