What types of surgery treat cervical cancer?
-
Aurora Health Care answered:The following are the different types of surgery for cervical cancer:
- Cryosurgery: Abnormal cells are killed by freezing them with a cold metal probe.
- Laser surgery: Abnormal cells are destroyed with heat from a focused beam of energy.
- Conization: Removing a cone-shaped portion of tissue may be the only treatment necessary. Conization (or a cone biopsy) is usually performed with either the loop electrosurgical excision procedure (LEEP), also called a large loop excision of the transformation zone (LLETZ); or a surgical scalpel or laser in a "cold knife" procedure.
- Vaginal hysterectomy (surgical removal of the uterus): requires a small incision at the top of the vagina to remove the uterus and sometimes other reproductive organs.
- Open surgery: An incision a few inches in length is made in the abdomen to provide access to the reproductive organs.
A simple hysterectomy removes your uterus and cervix. An abdominal hysterectomy removes your uterus, cervix, fallopian tubes, and ovaries, while a radical hysterectomy removes your uterus, cervix, fallopian tubes, ovaries, and tissue around the uterus such as lymph nodes.
If cancer returns after your initial treatment, more extensive surgery, such as pelvic exenteration, may be necessary. This procedure may involve removal of your uterus, cervix, lymph nodes, bladder, vagina, rectum, and/or part of your colon.
- Trachelectomy: A newer procedure designed to maintain your ability to have children, trachelectomy removes your cervix, upper portion of your vagina, and nearby lymph nodes. A "purse-string stitch" replaces the cervical opening. It can be performed as open abdominal surgery or through an incision through the vagina.
- Robotic surgery: This minimally invasive procedure is similar to a laparoscopy but uses robotic precision coupled with magnified views and the surgeon's skills to perform a hysterectomy (removal of the uterus).
The following are the different types of surgery for cervical cancer: Cryosurgery: Abnormal cells are killed by freezing them with a cold metal probe. Laser surgery: Abnormal cells are destroyed with heat from a focused beam of energy.... More -
Dr. Barbara Goff answered:Cervical cancer is usually treated with primary surgery when it is in its early stages and with a combination of radiation and chemotherapy in advanced stages. For early stage disease some women can be treated with a simple cone biopsy, which allows women to preserve fertility. Another fertility sparing option is a radical trachelectomy, which removes the cervix but preserves the uterus and ovaries so women can still get pregnant. If women do not which to preserve fertility then usually a hysterectomy or radical hysterectomy is performed along with removal of the lymph nodes in the pelvis. Most surgery for early cervical cancer can be performed robotically, which significantly reduces postoperative pain, blood loss and allows for a much faster recovery. If you need surgery for cervical cancer it is very important to see an expert who performs this surgery all the time. Once the surgery is complete most women will require no additional treatment but a small percentage may need radiation and chemotherapy following the hysterectomy.
Cervical cancer is usually treated with primary surgery when it is in its early stages and with a combination of radiation and chemotherapy in advanced stages. For early stage disease some women can be treated with a simple cone biopsy, which allows... More -
Healthwise answered:Surgery to remove the cancer depends on the location and extent of cervical cancer and your desire to be able to have children. You also may be given radiation therapy, chemotherapy or a combination of the two (chemoradiation). These treatments may be given before or after surgery to try to destroy any cancer cells that may remain or to help control or shrink the tumor.
Surgery choices - Surgery for very early stages of cervical cancer may preserve your ability to have children. Surgeries include:
- A cone biopsy or loop electrosurgical excision procedure (LEEP). This removes a wedge of cervical tissue that contains the cancer.
- Radical trachelectomy. This removes the cervix, part of the vagina and the pelvic lymph nodes (lymph node dissection). But the uterus is left in place.
Surgery for most stages of cervical cancer does not preserve your ability to have children. Surgeries include:
- Hysterectomy with or without removal of the ovaries. This removes the cervix and related organs where recurrence would be most likely.
- Modified radical hysterectomy with pelvic lymph node dissection. A radical hysterectomy usually includes removal of part of the vagina, the uterus, the ovaries and the fallopian tubes. It removes the most likely sites of cancer and may reduce the risk of recurrence.
Dealing with side effects of surgery - Side effects from surgery can include difficulty with urination or problems with bowel habits, such as constipation or diarrhea. Your ability to have or enjoy sexual intercourse may also be affected. Home treatment may help relieve some common side effects of cancer treatment.
Surgery to remove the cancer depends on the location and extent of cervical cancer and your desire to be able to have children. You also may be given radiation therapy, chemotherapy or a combination of the two (chemoradiation). These treatments... More
