Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method
Abstract: Radical hysterectomy (RH) is a standard treatment for early-stage cervical cancer. This surgery extirpates the uterus along with the paracervical tissues, vagina, and the paracolpium to achieve local control. Pelvic lymphadenectomy is a critical component of RH performed for regional control. A clear understanding of pelvic anatomy is critical to safely performing a RH and achieving optimal oncological and functional outcomes. The various surgical steps can damage the pelvic autonomic nerves, and a systematic nerve-sparing technique is used for the preservation of autonomic nerves. There is an intricate vascular network in the lateral paracervix (cardinal ligament) and the pelvic sidewall. We need to comprehend the three-dimensional structure of the vascular and nerve anatomy in the pelvis to perform RH effectively and safely. We can create six spaces around the uterine cervix, including the paravesical spaces, pararectal spaces, a vesicovaginal space, and a rectovaginal space to reveal the target of extirpation. It is critical to find the proper tissue plane separated by the layers of membranous connective tissue (fascia), in order to minimize intraoperative bleeding.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method ; volume:07 ; number:S 02 ; year:2021 ; pages:S48-S56 ; 02
The surgery journal ; 07, Heft S 02 (2021), S48-S56, 02
- Contributor
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Sakuragi, Noriaki
Kaneuchi, Masanori
- DOI
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10.1055/s-0041-1739119
- URN
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urn:nbn:de:101:1-2022031710592978621616
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:34 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Sakuragi, Noriaki
- Kaneuchi, Masanori
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Comparison of Nerve-Sparing Radical Hysterectomy and Radical Hysterectomy: a Systematic Review and Meta-Analysis
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Applied anatomy of female pelvic plexus for nerve-sparing radical hysterectomy(NSRH)
Surgical anatomy and dissection of the hypogastric plexus in nerve-sparing radical hysterectomy
Total Laparoscopic Nerve-Sparing Radical Hysterectomy Using the No-look No-touch Technique
Laparoscopic nerve‑sparing radical hysterectomy for the treatment of cervical cancer: a meta-analysis of randomized controlled trials
Survival outcomes of abdominal radical hysterectomy, laparoscopic radical hysterectomy, robot-assisted radical hysterectomy and vaginal radical hysterectomy approaches for early-stage cervical cancer: a retrospective study
Comparing pentafecta outcomes between nerve sparing and non nerve sparing robot-assisted radical prostatectomy in a propensity score-matched study
Radical hysterectomy in the elderly
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A Modified Nerve Preservation Technique in Radical Hysterectomy: Three-Dimensional Precise Dissection of Paracolpium
Nerve-Sparing Radical Hysterectomy: Kobayashi's Method
Comparison of Nerve-Sparing Radical Hysterectomy and Radical Hysterectomy: a Systematic Review and Meta-Analysis
Nerve-Sparing Robotic Radical Hysterectomy for the Beginner in Robotic Surgery
Applied anatomy of female pelvic plexus for nerve-sparing radical hysterectomy(NSRH)
Surgical anatomy and dissection of the hypogastric plexus in nerve-sparing radical hysterectomy
Total Laparoscopic Nerve-Sparing Radical Hysterectomy Using the No-look No-touch Technique
Laparoscopic nerve‑sparing radical hysterectomy for the treatment of cervical cancer: a meta-analysis of randomized controlled trials
Survival outcomes of abdominal radical hysterectomy, laparoscopic radical hysterectomy, robot-assisted radical hysterectomy and vaginal radical hysterectomy approaches for early-stage cervical cancer: a retrospective study
Comparing pentafecta outcomes between nerve sparing and non nerve sparing robot-assisted radical prostatectomy in a propensity score-matched study
Radical hysterectomy in the elderly
Different Nerve-Sparing Techniques during Radical Prostatectomy and Their Impact on Functional Outcomes