Objectives: The aim of the study was to evaluate any recurrency of cervical cancer after laparoscopic assisted radical vaginal hysterectomy Study Methods: Six women between 24 -48 years were prospectively followed for at least one year (l-4 years). Three cases were classified as FIG0 Ia and three as Ibl (< 3 cm). Five cases were epidermoid carcinoma and one case adenocarcinoma. No adjuvant therapy were used postoperatively. Results: Laparoscopic phase consisted of pelvic lymphadenectomy (common iliac, external iliac, hypogastric and obturatory vessels), uterine vessels ligature and ureteral dissection. One case was associated with a myoma (6 cm) and severe adhesion. The ovaries were preserved in one case (youngest patient) and they were fixed laterally and in a higher position. Laparoscopic duration time was from 220 to 300 min (mean 240 min). The vaginal phase ranged from 60 to 120 min (mean 90 min). No transfusion were necessary. Postoperatively no infections or fistulae were found. Hospital stay ranged from 3 to 7 days (mean 5 days). Number of lymphonodes retrieved varied from 13 to 18. None of them were metastatic. In a follow up of 1 to 4 years (mean 2 years) all patientes are alive and no recurrencies were noted. Conclusions: This study demonstrate the feasibility of the technique. Larger studies are encouraged with 5-year survival as the event of interest P4.02.04 CHEMOTHERAPY IN RECURRENT OR ADVANCED CERVICAL CANCER
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