Principles of Gynecologic Oncology Surgery

I. IntroductionII. Principles of abdominal and pelvic surgeryIII. Abdominal and Pelvic AnatomyIV. Vulvar/Vaginal Cancer 1. Preoperative evaluation 2. Vulvectomy and sentinel node mapping 3. Groin lymphadenectomy 4. Vaginectomy 5. Management of surgical complicationsV. Cervical Cancer 1. Preoperative evaluation 2. Indications for surgery for early- and locally advanced disease 3. Conservative surgery 4. Radical hysterectomy 5. Sentinel node mapping 6. Surgical staging for treatment planning 7. Management of surgical complicationsVI. Endometrial Cancer 1. Preoperative evaluation 2. Indications for sentinel node mapping and lymphadenectomy 3. Technique of standard hysterectomy and lymphadenectomyVII. Ovarian Cancer 1. Preoperative evaluation 2. Indications for laparoscopic assessment for cytoreduction 3. Radical upper abdominal surgery (liver, diaphragm, spleen) 4. Radical pelvic surgery 5. Complications and management of radical cytoreductionVIII. Pelvic Exenteration 1. Preoperative evaluation 2. Removal of specimen (would refer to other chapters for bowel surgery, creation of urinary conduit, and reconstruction) 3. Complications of exenteration IX. Surgery on the Intestinal Tract 1. Principles (vascularity, tension free, hand sewn vs stapled, etc) 2. Small bowel resection/anastomosis 3. Large bowel resection/anastomosis 4. Creation of a stomae 5. Complications and management of complicationsX. Surgery on the Urinary Tract 1. Principles 2. Repair of cystotomy 3. Reimplantation of ureter 4. Creation of neobladders (incontinent pouches, continent pouches, etc) 5. Complications and managementXI. Pelvic Reconstructive Procedures 1. Rectus abdominus flap 2. Gracilis flap 3. Continent and incontinent urinary diversionXII. Management of General Complications 1. GI injuries 2. GU injuries 3. Vascular injuriesXIII. Management of Radiation Complications 1. Radiation-related bowel obstruction 2. Fistulae 3. Radiation necrosisXIV. Novel Surgery in Gynecologic Oncology 1.

Pedro T. Ramirez MD is Professor of Gynecologic Oncology at MD Anderson Cancer Center in Houston, Texas. He has authored and co-authored 264 scientific publications and has written 19 book chapters, monographs, and invited articles. He is also the Editor-in-Chief of the International Journal of Gynecological Cancer. In addition, he is the Director of the Enhanced Recovery After Surgery (ERAS) Gynecologic Oncology Program at MD Anderson Cancer Center. Dr. Ramirez is the Principal Investigator of numerous prospective trials, including the LACC Trial. His areas of research interest include outcomes of minimally invasive surgery in gynecologic cancers and enhanced recovery after surgery implementation pathways.