Histerectomía radical vaginal en cáncer cérvicouterino de estadio precoz

objective: to communicate a minimally invasive technique for surgical handling of early stage cervical cancer and its results. methods: 40 patients with cervical cancer in stages ia2 and ib1, all of them operated in a period of 2.5 years, are presented. laparoscopic systemic pelvic lymphadenectomy with posterior radical vaginal hysterectomy was performed, with the exception of those patients who had compromised nodes detected in contemporary biopsy. results: 40 patients were submitted to this technique. 4 patients had their surgery aborted: 3 presented positive nodes for carcinoma in contemporary biopsy and 1 had extensive cervical compromise when performing radical vaginal hysterectomy. analysis of the remaining 36 cases shows an average age of 43.9 years, all of them had given birth before, 8 of them through cs-section. bmi averaged 30.49 and 14 had had cone surgery performed previously. average duration of surgery was of 238 minutes. postoperative hospitalization averaged 2.9 days. bleeding volume was estimated at 139 cc and no patient required blood transfusion. 13 uterine annexes were kept and all of them were suspended by means of laparoscopy. on average, 30 nodes were obtained. 4 patients suffered bladder injury, one had vesicovaginal fistula and there were 3 bladder dysfunctions. conclusion: the early stage cervical cancer is likely to be treated with this technique and provides de benefits of laparoscopic and vaginal surgery with minimal complications.