Nerve-sparing radical hysterectomy made easy by laparoscopy.
OBJECTIVE
To evaluate the technical feasibility of nerve-sparing radical hysterectomy performed laparoscopically.


METHODS
Thirty-five women with cervical cancer stage Ia1 or Ib1.


METHODS
All patients underwent laparoscopic nerve-sparing hysterectomy.


RESULTS
Oncologic results were comparable to those of conventional laparoscopic radical hysterectomy. There was complete recovery of bladder function after removal of the Foley catheter. Results of urodynamic studies at 3 weeks after surgery were normal.


CONCLUSIONS
Oncologic and functional results are comparable to those of conventional laparoscopic radical hysterectomy. Magnification enabled by laparoscopy is helpful in better dissection and preservation of nerve anatomy.
Galaxy Care Laparoscopy Institute, Pune, India. Electronic address: drshailesh@carehospitals.com.
Shailesh P
SP
Puntambekar
Galaxy Care Laparoscopy Institute, Pune, India.
Akhil
A
Lawande
Galaxy Care Laparoscopy Institute, Pune, India.
Seema
S
Puntambekar
Galaxy Care Laparoscopy Institute, Pune, India.
Saurabh
S
Joshi
Galaxy Care Laparoscopy Institute, Pune, India.
Sanjay
S
Kumar
Galaxy Care Laparoscopy Institute, Pune, India.
Rahul
R
Kenawadekar
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D002584:Cervix Uteri / Q000294:innervation / Q000473:pathology*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D009367:Neoplasm Staging; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*
Cervical cancer; Laparoscopy; Nerve preservation; Radical hysterectomy