title: Total microlaparoscopic radical hysterectomy in early cervical cancer.
abstract: OBJECTIVE
  In less than 2 decades, laparoscopy has contributed to modification in the management of early cervical cancer patients, and all comparisons between open and laparoscopic-based radical operations showed an identical oncological outcome. The aim of this study is to describe surgical instrumentations and technique to perform total microlaparoscopy radical hysterectomy in early cervical cancer patients and report our preliminary results in terms of operative time and perioperative outcomes.
  
  
  METHODS
  Between January 1, 2012, and March 25, 2012, 4 consecutive early cervical cancer patients were enrolled in this study.
  
  
  RESULTS
  We performed 3 type B2 and 1 type C1-B2 total microlaparoscopy radical hysterectomy, and in all cases concomitant bilateral salpingo-oophorectomy and pelvic lymphadenectomy were carried out. Median operative time was 165 minutes (range: 155 to 215) (mean: 186), and median estimated blood loss was 30 mL (range: 20 to 50). Median number of pelvic lymph nodes removed was 12 (range: 11 to 15). All procedures were completed without 5-mm port insertion and without conversion. No intraoperative or early postoperative complications were reported.
  
  
  CONCLUSIONS
  This report suggests a role of microlaparoscopy in the surgical management of early cervical cancer with adequate oncological results, superimposable operative time, and perioperative outcomes with respect to standard laparoscopy.
authors.affiliation: Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy. francesco.fanfani@rm.unicatt.it
authors.forename: Francesco
authors.initials: F
authors.lastname: Fanfani
authors.forename: Valerio
authors.initials: V
authors.lastname: Gallotta
authors.forename: Anna
authors.initials: A
authors.lastname: Fagotti
authors.forename: Cristiano
authors.initials: C
authors.lastname: Rossitto
authors.forename: Elisa
authors.initials: E
authors.lastname: Piovano
authors.forename: Giovanni
authors.initials: G
authors.lastname: Scambia
mesh_terms: D000368:Aged; D015992:Body Mass Index; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision; D008875:Middle Aged; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*