THE ROLE OF LAPAROSCOPY IN THE MANAGEMENT OF EARLY INVASIVE CERVICAL CANCER
Abstract
Background: Development of the laparoscopic techniques for surgical treatment of pelvic malignancies was stepwise. Since the laparoscopic pelvic lymphadenectomy is accepted as standard pro- cedure, other advantages of laparoscopic surgery are still being valutated.
Methods: The purpose of this review is to present the available information about the role of lap- aroscopy in management of early cervical cancer found in literature and to present our experiences on this issue.
Results: The role of laparoscopy in the management of cervical cancer is to some extent best defined as adjuvant procedure; ie laparoscopic pelvic lymphadenectomy, to vaginal surgery; coni- sation, trachelectomy and radical vaginal hysterectomy. In literature reports of advanced laparoscopic procedures, specifically laparoscopic radical hysterectomy, are increasing in recent years, demonstrating the potential of this surgical technique. The limitation present long learning curve for advanced laparoscopic surgical radical procedures at cervical cancer and cost of endoscopic tools, that facilitate the procedure.
Conclusions: Laparoscopic surgery is step by step overgrowing the role of adjuvant procedure to vaginal surgery for cervical cancer, which may represent one of the greatest challenges in the future gynecological oncological surgery.
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