Colpohystérectomie élargie par laparoscopie. Technique et difficultés opératoires. Hystérectomie radicale

Laparoscopic radical hysterectomy has emerged as an optional surgical treatment for operable non bulky (less than 4 cm) cervical cancer with no evidence of node involvement in imaging studies (MRI and /or CT Scan). Minimal invasive surgery has been used in this area, for patient's benefits such as scar and pain reduction and short recovery. This procedure was initially time consuming and of questionable “radicality”. During the past decade some reports, on a limited number of patients, have shown the feasibility of radical resection by laparoscopic surgery, as well as an equivalent number of pelvic nodes harvested by laparoscopy and open surgery without compromising survival.