Abstract
Surgical management of cervical carcinoma by radical hysterectomy has been proven a highly effective method in treating early-stage disease. The purpose of this study was to evaluate the efficacy and safety of radical hysterectomy for the treatment of early-stage (I-IIA) cervical carcinoma at our institution. A retrospective analysis of data on 40 patients with cervical cancer undergoing radical hysterectomy over an 8-year period (1994-2002) was performed. The mean age of the patients was 41.5 years. The most common histology was squamous cell carcinoma (67.5%). Adenocarcinoma comprised 17.5% of cases and adenosquamous cancers 15% of cases. The mean blood loss was 442 mL. The average operating time was 3 hours and 36 minutes. The average duration of hospital stay was 6 days. Metastatic carcinoma to the regional lymph nodes was found in 15% of the cases. Overall survival was 92.5%. There were no operative mortalities or fistulae. With proper patient selection and excellent operative technique, survival rates of well over 90%, with minimal complication can be obtained.
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