Minimally invasive radical treatment for invasive cervical cancer

Experience at gynecotological clinic "A"

Abstract

Introduction:

Cervical cancer is the fourth most frequent cancer in women around the world. Surgery is the first choice for treatment in early stages.

The standard surgical treatment is Type C1 Radical Hysterectomy and pelvic lymphadenectomy. Laparotomy is the typical surgical approach used in Uruguay. Oncologic results are similar for the different surgical approaches. The study presents the first case series of minimally invasive cervical treatment of cervical cancer published in Uruguay.

Method:

descriptive, prospective study of a series of cases. All patients operated at the Gynecological Clinic “A”, Pereira Rossell Hospital from January 2013 until December 2016 for invasive cervical cancer with minimally invasive approach as the primary treatment were included in the study.

Results:

17 patients were operated: 14 Radical Laparoscopic hysterectomy + laparoscopic pelvic lymphadenectomy and 3 radical vaginal hysterectomy + laparoscopic pelvic lymphadenectomy. Average ager: 44 years old. Average surgical time: 261 minutes. Average post-surgery hospital stay: 5 days. 2 cases changed into laparotomy. An average of 14.4 pelvic lymph nodes were resected. In no case were margins compromised. Two bladder lesions, no cases of severe bleeding, transfusion, intestine, vascular or ureteral lesions. No cases of infection, deshicence, thrombosis, reoperation or readmission. NO recurrence, average follow up was 29 months.

Conclusions:

minimally invasive surgery is a feasible treatment for early stages cervical cancer in our country, obtaining good anatomopathological, surgical and oncological results, morbility being low.