Introduction/Background Survival of patients with cervical cancer stage IB - IIA is highly variable and is affected by multiple risk factors, such as tumor size and lymph node metastases. We evaluated the outcome after surgical treatment and survival of patients who underwent laparoscopic radical hysterectomy without uterine manipulator.
Methodology In time period of 1/2011 to 01/2019 58 patients with cervical cancer stage IB - IIA underwent laparoscopic radical hysterectomy without uterine manipulator at St. Luke's hospital in Thessaloniki, Greece and at Mother and Child Medical Centre in Nikosia, Cyprus. Preoperatively all patients had undergone clinical staging and MRI for the evaluation of lymph node status.
Results 51 patients with stage IB and 7 patients with stage IIA disease underwent laparoscopic radical nerve sparing radical hysterectomy without uterine manipulator. No patient had any major complication and the mean blood loss was 188 ml (100–300 ml). Patients were mobilized the first postoperative day and the catheter was removed on the third postoperative day with residual urine volume less than 50 ml. The mean follow-up is 53 months (3–86). The recurrence rate was 6.9% (4 pts) and the mortality rate was 1.7%.
Conclusion Laparoscopic nerve sparing radical Hysterectomy without uterine manipulator is feasible and safe in patients with cervical cancer St. ΙB - ΙΙA. It offers oncological safety and the advantages of laparoscopy and nerve sparing technique. Furthermore the patients are able to receive adjuvant therapy directly without losing valuable time in postoperative recuperation.
Disclosure Nothing to disclose.
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