ABSTRACT

Laparoscopic radical hysterectomy has become the mainstay of minimally invasive treatment for early stage cervical carcinoma. The total laparoscopic approach offers a panoramic view of the operative field, and the magnification elucidates pelvic anatomical structures. Laparoscopy also has the advantage of facilitating access to the deep pelvis, making it possible to perform complicated procedures in this very difficult to access zone. Laparoscopic procedures demand unique knowledge not required in the case of open surgery. Knowledge of anatomy in the laparoscopic environment, surgical skills such as instrument manipulation, and the ability to interpret images from the laparoscope must be mastered. To attain this level of knowledge, dry-box training with laparoscopic instruments and in-depth study of pelvic anatomy are essential.