Introduction/Background Although phase 3 LACC trials showed that minimally invasive radical hysterectomy in early stage cervical cancer was associated with lower rates of disease-free survival as well as overall survival than conventional laparotomic hysterectomy, this trial did not have enough power to be generalize to low risk patients. Therefore, laparoscopic radical hysterectomy is still be considered in that context.
Methodology This was a retrospective trial. We review data of early stage cervical cancer who were underwent laparoscopic total hysterectomy at Oncology Hospital at Ho Chi Minh city from June 2016 to January 2019.
Results Seventy-five patients were enrolled in this study. Most of them (89.3%) were stage IB1 disease. Overall, the average of tumors diameter was 17 mm, the median time of the surgery was 190 minutes and the median of blood lost was 150 ml. The rate of surgical complications was 14.6% (11/75 patients). Among of them, 2 patients had vesicovaginal fistulas, 7 patients had ureteral perforations and 2 patients had rectal perforations. The median follow-up time was 12 months. The rate of pelvic recurrences was 2.6%.
Conclusion Laparoscopic total hysterectomy in early stage cervical cancer is a safe approach in women with lowest-risk disease. It reduces the operative morbidity as well as increases the quality of life. However, the limit of our study was that the follow-up time was still short. Therefore, we will continue this study to explore the disease-free and overall survival rates.
Disclosure Nothing to disclose
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