Minimally invasive surgery in the field of gynecologic oncology

The aim of this paper was to present the results in minimal invasive surger y in the field of gynecologic oncology at General hospital Zabok, Croatia. 381 laparoscopic procedures were performed between. 1994 and 1998 There wer e 263 operations of the benign, adnexal masses, and 107 operations due to b enign tumors of corpus uteri (there were 18 LAVH, 12 LH and 77 TLH). There were II laparoscopic operations due to carcinoma (1 ovary, 6 corpus and 4 c ervix). Operations were: 3 LAVH (laparoscopically assisted vaginal hysterec tomy), 5 TLH (total laparoscopic hysterectomy) with pelvic lymphadenectomy, 1 LAVH with pelvic lymphadenectomy, I coelio Shauta operation with laparos copic pelvic lymphadenectomy and paraaortal lymphadenectomy, and 1 laparosc opic adnexectomy. Among laparoscopic procedures in 370 patients operations were successfully performed as planed, while in II patients it was necessar y to switch to laprotomy. Among serious complications of laparscopic operat ions it is necessary to note 2 lesions of the ureter and I lesion of the bl adder. Laparoscopic lymphadenectomies were performed successfully; there we re no serious early or late postoperative complications. There was no opera tive mortality. Even though many authors claim that laparoscopic operations in the field of gynecologic oncology are safe and have the same results as in open surgery, patients benefit from shorter recovery and better quality of life during laparoscopic procedures.