Surgical outcomes of laparoscopic radical hysterectomy for patients with early cervical cancer: Initial experience in Cancer Institute

Background: Open radical hysterectomy with bilateral pelvic lymphadenectomy is the standard treatment in early stages (1A2-1B1) of uterine cervical cancer (UCC); laparoscopic radical hysterectomy (LRH) is a safe and viable option. Objective: To evaluate the safety and feasibility of LRH in a hospital cancer care center. Method: Retrospective study that included the first 17 patients with UCC in an early stage operated with LRH in the period from April 2013 to November 2016 at the National Cancer Institute of Mexico. Results: The 17 patients were stage 181 clinical, of which 10 (58.8%) was epidermoid subtype, 4 (23.5%) adenocarcinoma and 3 (176%) adenoescamoso. The mean age was 42 +/- 8 years. The tumor size was 2.3 +/- 0.9 cm, and in 94.1% the surgical margins were free of disease. The average operative time was 341 +/- 65 minutes and blood loss of 107 +/- 64 ml, no patient required blood transfusion and there was no case of conversion to open surgery. The average length of hospital stay was 2.7 days (range: 2-7 days). There were no intraoperative or postoperative complications. Conclusions: LRH is a safe and reliable alternative for the treatment of early stage UCC.