Perioperative management - pelvic lymphadenectomy on both sides, laparoscopic, robot-assisted laparoscopy (DaVinci)

Gynecological History:

• Initial symptoms (e.g., postcoital or atypical bleeding, pain, vaginal discharge)
• Menstrual cycle, number of pregnancies/births
• Previous gynecological diseases or procedures
• HPV status and PAP smears

General Medical History:

• Pre-existing conditions (e.g., cardiovascular, pulmonary, endocrine diseases)
• Infections, autoimmune diseases
• Previous surgeries, especially in the abdomen/pelvis
• Medication history (e.g., anticoagulants, immunotherapy, hormone therapy)

Oncological History:

• Stage and histology of cervical cancer (FIGO classification)
• Previous chemotherapy or radiation therapy

General Status:

• Vital parameters (BP, HR, temperature, respiratory rate)
• General condition, nutritional status

Gynecological Examination:

• Speculum setting: Inspection of the cervix and vagina for tumor or ulcerations
• Bimanual examination: Assessment of tumor mobility and infiltration
• Transvaginal sonography for uterine and adnexal tumor evaluation
• Rectovaginal examination to assess possible parametrial infiltration

Lymph Node Status:

• Palpation of the inguinal, supraclavicular, and axillary lymph nodes

Imaging for Staging Diagnostics:

• Pelvic MRI (Assessment of local tumor extent)
• CT Thorax/Abdomen/Pelvis (Exclusion of distant metastases)
• possibly PET-CT (in case of unclear lymph node involvement)
• Urological Diagnostics:
  • possibly Cystoscopy if bladder infiltration is suspected
  • possibly Ureteral Ultrasound or CT Urogram for assessment of the ureters