Laparoscopic radical hysterectomy with pelvic lymphadenectomy for early, invasive cervical carcinoma

TLDR: It is believed that this procedure could be an alternative to abdominal radical hysterectomy for selected women, especially those who have stage Ib1 cervical cancer, and acceptable in accordance with the standards of gynecologic oncology.

Abstract: Study Objective . To demonstrate the feasibility and evaluate the efficacy of laparoscopic radical hysterectomy with pelvic lymphadenectomy for early, invasive cervical cancer. Design . Prospective study (Canadian Task Force classification II-2). Setting . University-affiliated hospital. Patients Eighteen women (age range 29–70 yrs) with early, invasive cervical cancer. Intervention Laparoscopic radical hysterectomy with pelvic lymphadenectomy. Measurements and Main Results Diagnoses were squamous cell carcinoma in 15 patients and adenocarcinoma of the cervix in 3; these were graded microcarcinoma in 6 and stage lb ( Conclusion In our experience, laparoscopic radical hysterectomy with pelvic lymphadenectomy is acceptable in accordance with the standards of gynecologic oncology. Despite the longer operating time than traditional abdominal radical hysterectomy, all patients recovered as quickly as they would after laparoscopic-assisted vaginal hysterectomy. We believe that this procedure could be an alternative to abdominal radical hysterectomy for selected women, especially those who have stage lb1 cervical cancer.