title: Place of Schauta's radical vaginal hysterectomy.
abstract: Women affected by early stage invasive cancer of the cervix are usually treated by surgery. Radical abdominal hysterectomy with pelvic lymphadenectomy is the most widely used technique. Because the morbidity of the abdominal approach can be important, the radical vaginal hysterectomy has gained acceptance in gynaecologic oncology. New instrumentation in laparoscopy also opens the possibility of treating cervical cancer by laparoscopically assisted vaginal radical hysterectomy and also total laparoscopic radical hysterectomy. Before these techniques become widely accepted, it has to be shown that safety and efficacy are comparable with the 'standard' abdominal approach. In this chapter, we review the technique of radical vaginal hysterectomy with pelvic lymphadenectomy and evaluate results of published studies, comparing the abdominal, vaginal and laparoscopic approaches.
authors.affiliation: Department of Gynaecology and Obstetrics, Laval University, Gynaecologic Oncology Division, Centre Hospitalier Universitaire de Québec (CHUQ), L'Hôtel-Dieu de Québec, 11 Côte du Palais, Quebec City, Canada G1R-2J6. Michel.Roy@ogy.ulaval.ca
authors.forename: Michel
authors.initials: M
authors.lastname: Roy
authors.forename: Marie
authors.initials: M
authors.lastname: Plante
mesh_terms: D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000295:instrumentation / Q000379:methods*; D010535:Laparoscopy / Q000379:methods; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*