Laparoscopy Versus Laparotomy in Treatment of Early Stages of Cervical Cancer
PhD student, University Hospital “Mbretëresha Geraldine”, Tirana, ALBANIA
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Cervical cancer is a significant health problem in developing countries. Therefore, this paper will point out laparoscopy versus laparotomy for treatment of early stage cervical cancer. The data-recall facility of the used references was carried out with the help of the following mechanisms such as: Google, SAGES, EATS.fr, links available at World Laparoscopy Hospital, Pub Med pages available at “Queen Geraldine” University Hospital-Tirana, Gyno pro. The terms used for this paper are as following: cervical cancer, early stage, treatment laparoscopic and open surgery. There were nine articles related to laparoscopic radical hysterectomy (TLRH) and total abdominal radical hysterectomy (TARH). Some articles indicated that TLRH has been performed with a vaginal assisted or without vaginal assisted portion of procedure. There was no difference in demographic or etiologic tumor factors between two groups . Intraoperative, early and late complications did not differ between the 2 surgical procedures. In two articles patients who underwent TARH required a blood transfusion compared with TLRH [2, 3].The median duration of hospital stay was significantly shorter for TLRH. The data demonstrates that early cervical cancer can be treated successfully with two procedures, but the major benefits of TLRH are less intra –operative blood loss and shorter hospital stay. It is a safe procedure with a lower overall morbidity and complication rates.