Introduction/Background Radical hysterectomy with pelvic lymphadenectomy remains the standard surgical procedure in treatment of patients with early cervical cancer. The choice of surgical approach depends on clinic experience. The discussion, concerning the surgical approach in cervical cancer patients after the publication of the data of multicentral study SUCCOR, started again among the colleagues.

Due to experience and Ukrainian guidelines, in selected case of stage IB – IIB it is also advisable to start the treatment with preoperative chemotherapy or chemoradiation therapy, which leads to the tumor devitalization, tumor volume decrease and enable more ablastic surgery for better patients outcome.

Methodology There were analysed treatment results of the 148 cervical cancer patients stages IA-IIB, IIIB T1a-2bN0–1M0, who underwent treatment in 6 oncological clinics of Ukraine.

Results Regardless the stage of disease, 87 of 148 (58.8%) patients have received adjuvant course of EBRT, according to the pathology data at surgical specimen. The relapsed disease was detected in 15 of 148 (10.1%) patients. All the 8 patients, who underwent laparoscopic surgery as a first step of the treatment, had stage IB1 and at follow-up in them there was not detected relapsed disease.

Conclusion It is challenging to comment on laparoscopic approach, because of the limited number of patients in this study. However, in all of them, there were not detected relapsed disease at follow-up of 2 years. Preoperative chemoradiation therapy promote the increase of patients survival.

Disclosures Nothing to disclose.