J Med Assoc Thai 2017; 100 (10):1056

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Outcomes of Total Laparoscopic Radical Hysterectomy and Bilateral Pelvic Lymphadenectomy in Early Stage Cervical Cancer at King Chulalongkorn Memorial Hospital
Worasethsin P Mail, Oranratanaphan S , Tresukosol D

Objective: To study clinical characteristics and gynecologic oncology outcomes of total laparoscopic radical hysterectomy (TLRH) in early stage cervical cancer.

Material and Method: A retrospective study of early stage cervical cancer patients treated by TLRH and bilateral pelvic lymphadenectomy, between January 2010 and February 2013, was done.

Results: TLRH is an option of treatment for early stage cervical cancer. We performed 23 cases of TLRH, between January 2010 and February 2013. Mean operative time and estimated blood loss were 182 minutes (120 to 300), and 308.7 ml (50 to 1,200), respectively. Mean pelvic lymph nodes retrieval of left, 9.6 (4 to 25) and right, 8.5 (4 to 21) pelvic nodes. The vaginal length was anterior, 2.2 cm (1.0 to 4.0), and posterior, 2.4 cm (1.0 to 4.0), respectively. The right and left parametrium was 2.3 cm (1.5 to 3.0) and 2.4 cm (1.0 to 4.0), respectively. Three cases had post-operative radiation, one with deep stromal invasion and the others with positive pelvic nodes. No abdominal conversion is required. No recurrence was detected. The mean progression free survival was 63.7 months.

Conclusion: TLRH with pelvic lymphadenectomy is safe and effective in the treatment of early stage cervical cancer.

Keywords: Total laparoscopic radical hysterectomy, Cervical cancer, Progression free survival


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