Introduction/Background For several decades, laparotomy radical Wertheim hysterectomy, also known as Wertheim, has been the traditional surgical approach for early stage cervical cancer. However, many established cancer centres around the world have recently demonstrated that this procedure is laparoscopic and is a safe alternative, having already started in the West and America three decades ago. This technique has entered the implementation phase in Cameroon in 2019, which is why we proposed to evaluate the contribution of laparoscopy in the management of localized cervical cancer.
Methodology This was a comparative study with retrospective and prospective data collection, over a 3-year coverage from January 1, 2019 to July 31, 2022. All women who had a C1 radical hysterectomy for early stage cervical cancer were included in our study, divided into two arms, the laparotomy arm and the laparoscopy arm. Data on socio-demographic, clinical, para-clinical and therapeutic characteristics were collected using a questionnaire. The collected data were entered and analysed using SPSS version 25.0 software.
Results From January 2019 to July 2022, a total of 10 HTRs by laparoscopy and 22 HTRs by laparotomy were performed. The median blood loss in the laparoscopy group was significantly lower than in the laparotomy group (190 ml vs. 400 ml; p = 0.01). Furthermore, there was no statistically significant difference between the two techniques in terms of operative time, total lymph node yield or adjuvant treatment. Postoperative complications occurred, most of which were in the laparotomy group: digestive complications, visceral complications at 18% and postoperative infections at 18%.
Conclusion The results of our study suggest that with appropriate patient selection and increased experience, laparoscopic total radical hysterectomy can be a safe and effective procedure for the management of early cervical cancer in Cameroon.
Disclosures no disclosures
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