Laparoscopic vs Abdominal Radical Hysterectomy In Patients With Early Cervical Cancer
Laparoscopic vs Abdominal Radical Hysterectomy In Patients With Early Cervical Cancer
The purpose of this study is to determine whether laparoscopic radical hysterectomy for early
 cervical cancer will has decreased postoperative pain intensity compared to abdominal radical
 hysterectomy with similar postoperative complications and survival rates.
Background: Radical hysterectomy with pelvic lymphadenectomy is one of the FIGO
 (International Federation of Gynecology and Obstetrics) recommended treatments for early
 cervical cancer. The objective of this study was to compare radical hysterectomy by
 laparoscopic approach and open radical hysterectomy in a single center randomized clinical
 trial. Nevertheless, there are no finished randomized controlled trials comparing
 laparoscopic radical hysterectomy and abdominal radical hysterectomy although there is an
 ongoing trial.

 Methods: Were enrolled 30 IA2 with lymph vascular space invasion and IB cervical cancer
 patients. Postoperative pain intensity was defined as primary endpoint and pain intensity was
 measured by a 10-point numeric rating scale. Secondary outcomes were: intraoperative and
 other postoperative outcomes, histopathological outcomes and 5-year follow-up. Data analysis
 is being done at this moment
Inclusion Criteria:

 -  Women of 18 years or older referred to our service with histologically confirmed
 primary squamous, adenocarcinoma or adenosquamous cervical cancer diagnosed by biopsy
 or cervical conization, clinically FIGO (International Federation of Gynecologic and
 Obstetrics) staged IA2 with lymph vascular invasion, IB and II A.

 Exclusion Criteria:

 -  Patients with clinically advanced disease (IIB-IV), previous pelvic or abdominal
 radiotherapy, pregnancy, clinical diseases that would preclude one or both surgical
 approaches.