title: [Laparoscopy-assisted total vaginal hysterectomy with transperitoneal lymphadenectomy for early cervical cancer--surgical technique].
abstract: Cervical carcinoma remains an important health problem. The classical surgical approach for cervical cancer is radical hysterectomy (Wertheim's operation). Our paper presents the technique of laparoscopic assisted radical vaginal hysterectomy with transperitoneal lymphadenectomy, as well as the details for the dissection of obturator, paravesical, pararectal fossae, and parametrectomy. The major advantage of this techique is that the entire abdominal part of the procedure is performed under direct observation, therefore minimizing the visceral or vascular injury.
  
  
  CONCLUSIONS
  Our experiences suggest that this type of approach is feasible and offers the possibility to remove a greather number of lymph-node as compared to the classical approach. An increased experince will prove helpful in performing the entire procedure laparoscopically.
authors.affiliation: Clinica II Chirurgie, Universitatea de Medicină şi Farmacie"V. Babeş" Timişoara, România. stepan62@yahoo.com
authors.forename: S
authors.initials: S
authors.lastname: Pantea
authors.forename: C
authors.initials: C
authors.lastname: Duţă
authors.forename: I
authors.initials: I
authors.lastname: Sargan
authors.forename: F
authors.initials: F
authors.lastname: Lazăr
authors.forename: M
authors.initials: M
authors.lastname: Papurică
authors.forename: C
authors.initials: C
authors.lastname: Bălaşa-Guragata
authors.forename: D
authors.initials: D
authors.lastname: Bordoş
mesh_terms: D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods; D010535:Laparoscopy / Q000379:methods; D008197:Lymph Node Excision / Q000379:methods; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery*