[Laparoscopy for staging and treatment of cervical cancer].
BACKGROUND
Laparoscopic surgery for cervical cancer (CC) study and treatment is one of the main achievements in last years.


OBJECTIVE
Describe the feasibility and experience of laparoscopic procedures for CC staging and treatment.


METHODS
A retrospective analysis of 75 patients with CC in different stages was done, group I included CC in situ patients treated with type I Piver hysterectomy, in group 2, patients with early CC treated with type II or III radical hysterectomy with pelvic lymphadenectomy and para-aortic lymph node sampling, and group 3 patients with locally advanced CC submitted to pelvic and para-aortic lymphadenectomy. We analyzed operating time, bleeding, hospital stay, conversion to laparotomy, late complications and tumor recurrence.


RESULTS
Thirty patients were included in group 1, 31 in group 2 and 14 in group 3, mean operating time was 143, 270 and 136 minutes, bleeding 170, 460 and 80 mL, hospital stay was 1.6, 3.6 and 1.5 days and conversion to laparotomy was 3%, 9.7% and 0%, respectively for each group.


CONCLUSIONS
Laparoscopy is a safe procedure for the staging and treatment of cervical cancer in its different stages.
Maffuz
Antonio
A
Departamento de Ginecología Oncológica, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social. tonomaffuz@yahoo.com
Cortés
Gustavo
G
López
Daniel
D
Quijano
Félix
F
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000628:therapy*