title: Laparoscopic surgery compared to traditional abdominal surgery in the management of early stage cervical cancer.
abstract: The purpose of the study was to compare laparoscopic total radical hysterectomy with classic radical hysterectomy regarding parametrial, and vaginal resection, and lymphadenectomy.
  
  
  METHODS
  Laparoscopic or laparotomic total radical hysterectomy with advantages and disadvantages was offered to the patients diagnosed as having operable cervical cancer between 2007 and 2010. Lymph node status, resection of the parametria and vagina, and margin positivity were recorded for both groups. Data were collected prospectively. Statistical analysis was performed with the SPSS statistical software program.
  
  
  RESULTS
  Totally, 53 cases had classical abdominal radical hysterectomy and 35 laparoscopic radical hysterectomy, respectively. Parametrial involvement was detected in four (11.4%) cases in laparoscopic radical surgery versus nine (16.9%) in laparatomic surgery. All the cases with parametrial involvement had free surgical margins of tumor. Also there were no significant statistical differences in lymph node number and metastasis between the two groups.
  
  
  CONCLUSIONS
  There is no difference in anatomical considerations between laparoscopic and laparatomic radical surgery in the surgical management of cervical cancer.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Gynecologic Oncologic Surgery Akdeniz University School of Medicine, Antalya, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Simsek
authors.forename: M
authors.initials: M
authors.lastname: Ozekinci
authors.forename: Z
authors.initials: Z
authors.lastname: Saruhan
authors.forename: B
authors.initials: B
authors.lastname: Sever
authors.forename: E
authors.initials: E
authors.lastname: Pestereli
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*