INDICATIONS FOR LAPAROSCOPIC SURGERY IN CASES OF GYNECOLOGICAL MALIGNANCIES (ENDOMETRIAL CANCER)

The role of surgery in the treatment of patients with invasive cervica l cancer is undisputed, but how radical surgery should be is debatable , Every case requires detailed knowledge of the development and spread of cervical cancer, Tumor volume is the most important diagnostic fac tor in cervical cancer and also correlates with vascular invasion and lymph node involvement, As radical hysterectomy requires in cervical c ancer besides the laparoscopically easy performable lymphadenectomy al so the resection of parametria with sceletonisation of ureters we star ted to treat endometrial cancer with a combined laparoscopic and vagin al approach, In patients with the suspicion of stage I endometrial can cer prior to laparoscopic staging, the prerequisites of histological g rading with ploidy and measurement of monoclonal antibodies were perfo rmed, All patients underwent a general check with radiography, compute r tomography, liver scan, bone scan and lymphography, The performance of lymphadenectomy in cases of stage I endometrial cancer remains a co ntroversial subject, We believe that laparoscopic assisted surgical st aging of stage I endometrial cancer is an attractive alternative to th e traditional laparotomy-surgical approach, The change from laparotomy to a laparoscopic assisted vaginal approach allows for a similar succ ess rate with the less invasive approach, No complications occurred in this series and the results of our pilot study were satisfactory.