Hysterectomy pp 597-609 | Cite as

Laparoscopic Radical Hysterectomy with Pelvic Lymphadenectomy (Spanish School)

  • Antonio Gil-MorenoEmail author
  • Sabina Salicrú
  • Berta Diaz-Feijoo
  • Blanca Gil-Ibáñez


Laparoscopic radical hysterectomy is one of the surgical procedures performed today in the management of gynecologic cancer. The term radical hysterectomy has been used to refer to a wide range of procedures that act with different degrees of radicality. In 1974, in western countries, Piver and Rutledge described five different types of extended abdominal radical hysterectomy and a new classification was recently proposed by Querleu and Morrow in 2008.

The laparoscopic approach is associated with a lower surgical morbidity in terms of surgical bleeding and shorter length of hospital stay, although the duration of the operation may be longer if the team is not well trained. Laparoscopic radical hysterectomy with endoscopic pelvic lymphadenectomy (and paraaortic lymphadenectomy if needed) is a safe surgical option for the treatment and staging of early invasive cervical cancer regarding technique, surgical risk, intraoperative bleeding, intra-and postoperative complications, and patient’s recovery. It is important to consider the learning curve. Surgical advances including new laparoscopic instrumentation and particularly, the use of robotics, will contribute to reducing the duration of operations and facilitate the learning and teaching of the procedure.


Laparoscopic radical hysterectomy Laparoscopic pelvic lymphadenectomy Early cervical cancer-surgical morbidity-minimally invasive surgery 


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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  • Antonio Gil-Moreno
    • 1
    Email author
  • Sabina Salicrú
    • 1
  • Berta Diaz-Feijoo
    • 1
  • Blanca Gil-Ibáñez
    • 1
  1. 1.Department of Obstetrics and GynecologyHospital Universitari Vall d’Hebron Universitat Autònoma de BarcelonaBarcelonaSpain

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