Abstract: Objective To investigate the feasibility， superiority and clinical application of laparoscopic radical hysterectomy for early-stage cervical cancer.
Methods Clinical dates of 623 cases of earlystage cervical cancer treated with radical hysterectomy combined with pelvic lymphadenectomy or paraaortic lymphadenectomy from January， 2009 to December， 2014 in the Department of Gynecologic Oncology of Affiliated Tumor Hospital of Guangxi Medical University were analyzed. According to the surgical approach， they were divided into laparoscopic surgery group（374 cases）and transabdominal surgery group（249 cases）. A retrospectively analysis was carried out to compare the basic situations， operation time， intraoperative blood loss， number of resected lymph nodes， length of vagina and parametrium removal and incidences of complications. Results 368 cases with laparoscopic surgery were performed successfully， the rate of success reached 98.40％（368／374），6 cases were converted to open surgery， and the rate of conversion to laparotomy reached 1.60％（6／374）. The operation time， intraoperative blood loss， ambulation time and recovery time of intestines in laparoscopic surgery group were better than those in transabdominal group, and the difference was statistically significant（P＜0.05）. While the number of resected lymph nodes，length of vagina and parametrium removal of two groups were not statistically significant（P＞0.05）. In the intraoperative and postoperative complications, except for urinary retention, there was no significant difference between the two groups（P＞0.05）. Conclusion There were several advantages including minimal invasive， less blood loss and less postoperative complications and quicker recovery in laparoscopic radical hysterectomy，when compared with traditional transabdominal surgery. It is effective and safe for earlystage cervical cancer.