Laparoscopic Radical Hysterectomy for Early Uterine Cervix Carcinoma: 2-Years Experience

摘要

Objective: to present the technique of laparoscopic radical hysterectomy and preliminary results from the treatment of patients with this method.Materials and methods: for a period of two years (2004-2005) 25 patients with invasive uterine cervix carcinoma in IB1 stage had laparoscopic radical hysterectomy (LARH) with total pelvic lymph node dissection. The technique of the surgical intervention is described.Results: the mean duration of the surgical intervention was 210 minutes (150 - 220 min), the mean blood loss - 230 ml (60-750 ml). By the end of the two years period of follow-up all patients were alive, without local relapse and distant metastasis.Conclusion: Prospective randomized studies are necessary for comparing laparoscopic and abdominal radical hysterectomy.