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LAS VEGAS -- A total laparoscopic approach to radical hysterectomy and pelvic lymphadenectomy in patients with early cervical cancer reduced intraoperative bleeding and recovery times but took significantly longer to perform than abdominal procedures in a prior trial.
On average, the laparoscopic approach took longer (360 minutes vs. 285 minutes) and resulted in less intraoperative blood loss (200 cc vs. 550 cc). Those in the laparoscopy group also spent half as much time in the hospital (4 days vs. 8 days), Dr. Nadeem R. Abu-Rustum said at an international congress of the Society of Laparoendoscopic Surgeons.
Surgeons prospectively performed laparoscopic surgery on 19 patients with stage IA1 to IB1 cervical cancer and compared the results with retrospective data from 195 patients with similar disease who were treated with a traditional abdominal radical hysterectomy with pelvic lymphadenectomy over a 10-year period.
Early in the study, two patients in the laparoscopy group underwent conversion to laparotomy--one due to parametrial bleeding, the other due to pelvic adhesions and cystotomy, said Dr. Abu-Rustum, a gynecologic oncologist at Memorial ...