Comparison of laparoscopic and conventional surgery in the treatment of early cervical cancer.
OBJECTIVE
To compare efficacy, results, and complications of laparoscopic-assisted radical hysterectomy (LARH) and pelvic lymphadenectomy with abdominal radical hysterectomy (ARH) and pelvic lymphadenectomy in management of early (stages 1a2, 1b) invasive cervical carcinoma.


METHODS
Prospective cohort study (Canadian Task Force classification II-2).


METHODS
University-affiliated hospital.


METHODS
Sixty women enrolled for radical hysterectomy as most appropriate primary treatment.


METHODS
Radical hysterectomy performed by laparoscopy or laparotomy.


RESULTS
Thirty patients each underwent LARH and ARH. The groups did not differ in terms of age, weight, disease stage, operating time, and hospital stay. Mean blood loss was 962 +/- 543 ml for ARH and 450 +/- 284 ml for LARH. No laparoscopic procedure was converted to laparotomy. There was no significant difference in intraoperative and postoperative complications. There was no significant difference in recurrence rates.


CONCLUSIONS
LARH with pelvic lymphadenectomy does not increase recurrence rates and morbidity when performed by experienced endoscopists and oncologists.
Lee
Chyi-Long
CL
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5 Fu-Hsin Street, Kwei-Shan, Tao-Yuan, Taiwan.
Huang
Kuan-Gen
KG
Jain
Smita
S
Lee
Pei-Shan
PS
Soong
Yung-Kuei
YK
D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D002277:Carcinoma / Q000473:pathology* / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D015907:Hysteroscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications; D011336:Probability; D011446:Prospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery*