Laparoscopic total mesometrial resection (L-TMMR)

Vito Chiantera, Giuseppe Vizzielli, Alessandro Lucidi, Vito Chiantera

Research output: Chapter in Book/Report/Conference proceedingChapter


Abdominal radical hysterectomy and pelvic lymph node dis- section as introduced by Wertheim and Meigs [1–2] first in the beginning of the century is still regarded as “gold stan- dard” in the surgical treatment of the uterine cervix carci- noma, FIGO stages IA2-IB and IIA. The resection of the parametrial and paracervical tissues proposed by the conventional radical hysterectomy is based on a “centrifu- gal diffusion” from the center of the tumor on the direction of the parametrial (dorsal, lateral and ventral) highways. This imply a classic functional and ligament-focused view of the surgical anatomy.
Original languageEnglish
Title of host publicationHysterectomy: A Comprehensive Surgical Approach
Number of pages9
Publication statusPublished - 2017

All Science Journal Classification (ASJC) codes

  • General Medicine


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