Cirugía Cáncer Útero Cervix Uterino

Uterine cancer – Surgery

Uterine (endometrial) and cervical cancer surgery have evolved substantially in recent years. Nowadays we use minimally invasive laparoscopic and robotic surgery in almost all cases. It is also often necessary to remove the pelvic and abdominal lymph nodes.

In recent years, investigations have been carried out regarding uterine cancer surgery and it has been concluded that a sentinel lymph node biopsy can be performed (between 1-3 lymph nodes), reducing surgical morbidity.

Sentinel Lymph Node Detection. Dr. Lucas Minig

When is surgery for endometrial cancer recommended?

Surgery for endometrial cancer is often the main treatment when a woman has endometrial cancer.
Other treatments such as chemotherapy and/or radiation can be offered depending on the stage and development of cancer that the patient has. These are used when there is a contraindication for surgery.

In very selected cases, in women who want to become mothers, surgery can be postponed for a certain amount of time, and use other fertility-sparing treatments.

What specialists perform surgery for endometrial cancer?

Surgery for endometrial cancer always has to be performed by a gynecologic oncologist. It must be carried out by a specialist to guarantee an adequate process from the diagnosis until the postoperative.
To this effect, Dr, Lucas Minig (See Biography) has more than 20 years of experience and is a specialist in high complexity gynecologic surgery, which comes with great comfort and is an advantage for women.

Related Terms:

What is Uterine cancer? – Uterine cancer operation – Operation for uterine cancer- Uterine surgery for cancer – uterine cancer can it be operated – Uterine cancer surgery – Uterine cancer surgery specialist – Treatment for uterine cancer in Spain

Uterus Cancer Specialist

Surgical procedures to treat uterine (endometrial) and cervical cancer

The procedures to treat uterine (endometrial) and cervical cancer are the following:

Radical Hysterectomy Procedure: It is performed in women with cervical cancer in its early stages. Radical hysterectomy is the removal of the uterus with part of the surrounding tissue (parametrium) close to the bladder, the rectum, and the pelvic wall.

This procedure is followed by the removal of pelvic lymph nodes (pelvic lymphadenectomy). This is a high complexity surgical procedure that has to be performed by gynecologic oncologists with enough training to minimize the complications of the procedure.

Pelvic organs, as well as other organs of the body, are innervated by autonomic nerves. This means that they are nerves that our consciousness cannot control and whose function is controlling rectal and bladder emptying, as well as generating orgasms during sexual intercourse

During a radical hysterectomy, when sectioning the tissue surrounding, the autonomic nerves can be sectioned involuntarily because they are very delicate.

However, the nerves can be preserved with a careful surgical technique, reducing the possibility of post-surgical complications

Radical hysterectomy is a procedure that we perform routinely through minimally invasive laparoscopic surgery.

Procedure Sentinel lymph node identification: the sentinel lymph node is the first lymph node in a specific body region that receives the metastasis coming from the tumor. To identify and remove it, a dye is injected into the cervix of the uterus that migrates to the pelvic sentinel lymph node.

Afterward, we proceed to its identification and removal by minimally invasive laparoscopic surgery. There are often between 1 and 3 lymph nodes, instead of the 15-20 lymph nodes that we usually take out when we perform a complete extraction of pelvic lymph nodes (pelvic lymphadenectomy).

The main advantage is to significantly reduce the morbidity and complications associated with the procedure.

Ganglio Centinela

Is it necessary to remove the ovaries?

Good scientific evidence exists today to confirm that the extraction of the ovaries is not necessary when performing a hysterectomy for cervical cancer in premenopausal women

However, in some patients with endometrial cancer, the ovaries need to be removed in young women. But, in any case, the clinical situation of the patient must be individualized to decide whether or not to remove the ovaries.

How long do I have to stay in the hospital?

Usually, if there are no post-surgical complications, the hospital stay is just one day long. However, in some cases, the patients can be discharged on the same day of the surgery.

During the hospital stay, every patient will be evaluated by Dr. Minig to oversee her recovery until hospital discharge.


Is movement restriction necessary after the surgery?

Today, no scientific evidence supports that free movement after laparoscopic hysterectomy increases the possibility of post-surgical complications. Therefore, patients can go back to their daily activities and movements carried out before the surgery, progressively as the pain allows them to do so.

It is possible that after endometrial cancer surgery there is light bleeding or spotting up to six months after the intervention. If there is abundant or prolonged bleeding, it is advisable to consult with a specialist. Regarding sexual intercourse, it can be resumed around 6-8 weeks after surgery.

Here you can find more information

Are there risks after uterine cancer surgery?

Uterine cancer surgery does not often develop complications when a hysterectomy is performed. However, some secondary effects can appear such as:

– Fever.
– Urinary incontinence.
– Continuous and abundant bleeding.
– Difficulty urinating.
Other (less common) complications might be:
– Blood clots in the legs and/or lungs
– Lesions in organs such as the bowel or bladder.
– Haematomas.
– Infection.

If these unusual symptoms appear, you should contact the specialist as soon as possible.

How are surgical wounds taken care of after surgery?

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Frequently Asked Questions about Surgery for uterine cancer

How is the operation for uterine cancer?

The main treatment for endometrial cancer is surgery to remove the uterus and cervix. This operation is called a hysterectomy. Total or simple abdominal hysterectomy is the procedure in which the uterus is removed through an incision (cut) in the abdomen.

What do they take out when you have uterine cancer?

Hysterectomy. The uterus and cervix are removed when a hysterectomy is done Hysterectomy is the most common way to treat cervical cancer. There are many ways to do this surgery. Sometimes the ovaries are removed at the same time.

When can the uterus be removed?

Generally, they respond to a diagnosis or reasonable suspicion of malignant diseases, such as endometrial or cervical cancer. In these cases, it is common to perform extirpation, but it is also opted for in the case of some benign diseases that can pose certain risks.

Opinions from patients with uterine (endometrial) cancer

Doctor Lucas Minig Specialist in Surgery for uterine cancer in Valencia, Spain

Dr Lucas Minig
Dr Lucas Minig
Dr Lucas Minig
Dr Lucas Minig
I had my procedure just over a week ago (February 2022): A laparoscopic hysterectomy with sentinel loading biopsy. My biopsy came back clean and I don't have any traces of cancer in my cervix. I'm amazed that after a day, or really the same day, I can get out of bed and walk around, and go to the bathroom by myself, and shower myself, and do all the normal things; that I came to another country and to have been able to walk around the city and shop and go to restaurants and climb a castle within a few days of my surgery, I probably did a little too much, but I was able to do it and so it's really a miracle that it was able to receive this type of surgery with those types of results.
Patient operated on for Cervical Cancer
I had a radical hysterectomy for endometrial cancer. Quick recovery, pain free. Friendly, attentive treatment. Great professional and person.
Verified patient. Uterus Cancer Surgery.
I have no words to thank Dr. Lucas for what he has done for me... miracles are not only in which the Lord appears and solves our problem, sometimes he simply puts people like this great doctor in our path, and the best of all is not that he is an excellent doctor, which he is without a doubt, it is his great closeness, humanity, his clarity, for me he is an 11 in everything. Luckily he is my doctor, the best decision of my life to put myself in his hands.
Ainhoa G.M
Patient operated on for cancer of the uterus, endometrium. Visit Gynecology and Obstetrics
At the end of 2010 and beginning of 2011 I was treated by Dr. Lucas Minig, I had endometrial cancer and I spent intermittent seasons at the Sanchinarro Hospital in Madrid, during my stay at said center there was not a single day that he did not visit me. His humane treatment was exquisite and I have no doubt that he contributed greatly to my total recovery.
Patient operated on for cancer of the uterus (endometrium)









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