Introduction/Background Minimally invasive surgery was considered as an alternative to laparotomy (open surgery) for radical hysterectomy in patients with early-stage cervical cancer with a similar survival rate. The aim of this study is to evaluate the long-term outcomes of laparoscopic radical hysterectomy (type III Piver) for early stage cervical cancer (IA1-IB1 FIGO).
Methodology The retrospective study included data of 60 patients with early stage cervical cancer (IA1 - IB1, tumor size ≤2 cm), who underwent laparoscopic radical hysterectomy (type III by Piver) during the period from 2012 to 2016 at the oncogynaecological department of N.N. Petrov National Medical Research Center of Oncology. The primary endpoint - 4,5 - years disease-free survival.
Results The median follow-up was 44 months (from 25 to 72 months). A 4.5-years disease-free survival was 94.5%. All patients included in the study were alive at the time of the assessment, 95% (57 patients) without signs of the disease, 5% (3 patients) developed a relapse.
Conclusion Long-terms outcomes of laparoscopic radical hysterectomy are acceptable for the continuation of such type of surgical intervention. Laparoscopic approach seems to be an effective and safety option for early stage cervical cancer treatment, but the survival rate need to be analyzed in randomized studies.
Disclosure Nothing to disclose.
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