title: Laparoscopic radical hysterectomy with the use of a modified uterine manipulator for the management of stage IB1 cervix cancer.
abstract: We prospectively collected data on all patients with stage IB1 cervical cancer, who underwent total laparoscopic radical hysterectomy with the use of a modified uterine manipulator. From January 2000 to December 2005, 54 patients met the study criteria. The mean age was 41.8 +/- 7.47 years. Average BMI (kg/m(2)) was 27.38 +/- 3.13. Squamous carcinoma and adenocarcinoma were found in 88.88% and 11.11% of the cases, respectively. The average surgical time was 265 +/- 70.8 min. The mean estimated blood loss was 276.11 +/- 123.03 ml. The average patient lymph node count was 19.64 +/- 5.08. Positive malignant lymph nodes were identified in 11.11% of the cases. Surgical margins were free of disease in all patients. The mean hospital stay was 1.5 +/- 1 days. There was no mortality. Total laparoscopic radical hysterectomy can be considered a safe alternative to laparotomy. The use of a uterine manipulator does not pose an increased surgical risk and allows for a simpler and more feasible procedure.
authors.affiliation: Department of Gynecologic Oncology, Hospital of Obstetrics and Gynecology at Western Medical Center, Mexican Institute of Social Security in Guadalajara, Jalisco, Mexico.
authors.forename: J C
authors.initials: JC
authors.lastname: Canton-Romero
authors.forename: R
authors.initials: R
authors.lastname: Anaya-Prado
authors.forename: H A
authors.initials: HA
authors.lastname: Rodriguez-Garcia
authors.forename: F
authors.initials: F
authors.lastname: Mejia-Romo
authors.forename: P E
authors.initials: PE
authors.lastname: De-Los-Rios
authors.forename: G
authors.initials: G
authors.lastname: Cortez-Martinez
authors.forename: R
authors.initials: R
authors.lastname: Delgado-Ramirez
authors.forename: F
authors.initials: F
authors.lastname: Quijano
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000295:instrumentation* / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011446:Prospective Studies; D002583:Uterine Cervical Neoplasms / Q000601:surgery*