doiSerbia

Treatment of cervical cancer in the Republic of Srpska

Lučić Nenad (Klinički centar Banja Luka, Klinika za ginekologiju i akušerstvo, Banja Luka, Republika Srpska)
Antonić Zora (Klinički centar Banja Luka, Klinika za ginekologiju i akušerstvo, Banja Luka, Republika Srpska)
Ećim Vesna (Klinički centar Banja Luka, Klinika za ginekologiju i akušerstvo, Banja Luka, Republika Srpska)
Draganović Dragica (Klinički centar Banja Luka, Klinika za ginekologiju i akušerstvo, Banja Luka, Republika Srpska)
Latinović Ljiljana (Klinički centar Banja Luka, Zavod za patologiju, Banja Luka, Republika Srpska)

Introduction. Since 1897, when the first radical hysterectomy with lymphadenectomy was done by Wertheim in Vienna, this operation has had the central role in the surgical treatment of invasive cervical tumors. Material and methods. In the period from 1997 to 2010, 177 patients diagnosed with invasive cervical cancer according to the International Federation of Gynecology and Obstetrics (FIGO) stage IB1 - II were operated at the Department of Obstetrics and Gynecology in Banja Luka. All patients underwent radical hysterectomy by Wertheim - Meigs. The aim of this study is to present the technique of this operation, as well as its effectiveness in the treatment of cervical cancer. Results. The distribution of the patients having invasive cervical cancer according to the International Federation of Gynecology and Obstetrics classification was as follows: I B1 - 35.67%, I B2 - 23.17%, II A - 15.48%, II B - 25.68% on average is 21.3 removed lymph glands. The rate of intraoperative and postoperative complications was 8 (4.51%) and 17 (9.60%), respectively. Of the 26 patients who were operated in the period from 2005 - 2010, 13 had stage II B according to the International Federation of Gynecology and Obstetrics; there were 6 lethal outcomes (23.08) and the five-year survival rate was 76.92%. Discussion and conclusion. By applying the proper surgical technique and early prevention of immediate complications, we achieved satisfactory results in operative morbity and mortality, intraoperative and postoperative complications of the lesion for radical surgery by the Wertheim- Meigs-in the treatment of cancer of the uterus in the I B - II B stage according to the International Federation of Gynecology and Obstetrics classification.

Keywords: Uterine Cervical Neoplasms, Hysterectomy, Intraoperative Complications, Postoperative Complications, Survival Rate, Female, Adult, Middle Aged