Laparoscopic Radical Hysterectomy for Early-stage Cervical Cancer: Experiences from Rajavithi Hospital

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Aranya Yantapant
Chumnan Kietpeerakool


Objectives: To assess the survival outcomes of women with cervical cancer who had been treated with laparoscopic radical hysterectomy (LRH) at a large referral center in Thailand.
Materials and Methods: Records of women undergoing LRH between January 2010 and December 2018 were reviewed.
Results: Of 67 patients, the median age was 49 years. Fifty-six patients (83.6%) were diagnosed with stage IB cervical cancer. Forty-two (62.7%) patients had squamous cell carcinoma. Twenty-five (37.3%) patients received adjuvant treatment following LRH. With a median follow-up time of 32.6 months, eight (11.9%) patients experienced recurrent disease including pelvic recurrence (six patients) and combined pelvic and distant recurrences (two patients). Their 5-year disease-free (DFS) and overall survivals (OS) were 75.4% and 76.8%, respectively. Patients with squamous cell carcinoma had longer DFS than those with other histological types (p = 0.028).
Conclusion: The 5-year DFS and OS of patients undergoing LRH in this study were 75.4% and 76.8%, respectively. Patients with squamous cell carcinoma had longer survival than those with other histological types.


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