Yue-Shan Lin1. 1. Department of Obstetrics and Gynecology, Chi Mei Foundation Medical Center, No. 901, Chung Hwa Road, Yung Kang City, Tainan, Taiwan.
Abstract
STUDY OBJECTIVE: To compare laparoscopic modified radical hysterectomy (LMRH) with traditional modified radical hysterectomy (MRH) in women with early invasive cervical cancer. DESIGN: Prospective, nonrandomized study (Canadian Task Force classification II-1). SETTING: Chi Mei Foundation Medical Center, Tainan, Taiwan. PATIENTS: Ten women with cervical cancer stage Ia2 to Ib1 (</=2 cm). Intervention. LMRH (class II radical hysterectomy) and pelvic lymphadenectomy. MEASUREMENTS AND MAIN RESULTS: The pathologist examined all specimens. The width of parametrium (mean +/- SD) was 1.75 +/- 0.68 cm on the right and 1.70 +/- 0.54 cm on the left. The length of the vaginal cuff was 1.37 +/- 0.86 cm. Operating time for LMRH (159 +/- 26.4 min) was similar to that for MRH (165.7 +/- 30.5 min). Postoperative hospitalization for LMRH (4.1 +/- 1.5 days) and estimated blood loss (250 +/- 147.2 ml) were significantly less than for MRH (8.3 +/- 4.4 days and 611.5 +/- 256.8 ml, respectively). No intraoperative complications occurred, and no patient experienced postoperative voiding dysfunction or constipation. CONCLUSIONS: Based on preliminary results, LMRH is feasible for treatment of early invasive cervical cancer, and may become preferred for surgical staging of the disease.
STUDY OBJECTIVE: To compare laparoscopic modified radical hysterectomy (LMRH) with traditional modified radical hysterectomy (MRH) in women with early invasive cervical cancer. DESIGN: Prospective, nonrandomized study (Canadian Task Force classification II-1). SETTING: Chi Mei Foundation Medical Center, Tainan, Taiwan. PATIENTS: Ten women with cervical cancer stage Ia2 to Ib1 (</=2 cm). Intervention. LMRH (class II radical hysterectomy) and pelvic lymphadenectomy. MEASUREMENTS AND MAIN RESULTS: The pathologist examined all specimens. The width of parametrium (mean +/- SD) was 1.75 +/- 0.68 cm on the right and 1.70 +/- 0.54 cm on the left. The length of the vaginal cuff was 1.37 +/- 0.86 cm. Operating time for LMRH (159 +/- 26.4 min) was similar to that for MRH (165.7 +/- 30.5 min). Postoperative hospitalization for LMRH (4.1 +/- 1.5 days) and estimated blood loss (250 +/- 147.2 ml) were significantly less than for MRH (8.3 +/- 4.4 days and 611.5 +/- 256.8 ml, respectively). No intraoperative complications occurred, and no patient experienced postoperative voiding dysfunction or constipation. CONCLUSIONS: Based on preliminary results, LMRH is feasible for treatment of early invasive cervical cancer, and may become preferred for surgical staging of the disease.