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Updated: Apr 21, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Laparoscopy-assisted supracervical hysterectomy for ovarian cancer: cervical recurrence
James Fanning1, Joshua Kesterson1, Andrea Benton1
1Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, Hershey, PA, USA.
Background And Objectives:
The purpose of our study is to evaluate the incidence of cervical recurrence after laparoscopic supracervical hysterectomy for ovarian cancer debulking or staging.
Methods:
From a prospective surgical database, we identified 51 cases of laparoscopic supracervical hysterectomy for ovarian cancer debulking or staging. No cases were excluded.
Results:
From 2009 to 2012, 51 patients were identified. The median age was 62 years (range, 32-83 years), and the median body mass index was 29 kg/m2 (range, 16-41 kg/m2). Medical comorbidities were present in 40 patients (78%), and 53% had prior abdominal surgery. The median operative time was 2 hours (range, 1-3.5 hours), and the median blood loss was 200 mL (range, 50-900 mL). The median length of stay was 1 day (range, 0-12 days). The stage was I in 12 patients, II in 6, and III/IV in 33. At a median follow-up time of 1.7 years (range, 0.3-2.6 years), 20 patients (39%) had recurrence of cancer, with a median time of recurrence of 1.1 years (range, 0.3-2.3 years). All recurrences were in the abdomen or pelvis except for 1 axillary node recurrence and 1 recurrence in the distal vagina. There were no recurrences in the remaining cervical stump. No patient had a postoperative vaginal cuff infection. Among the 104 cycles of intraperitoneal chemotherapy, there was no vaginal leakage of intraperitoneal chemotherapy.
Conclusion:
Laparoscopic supracervical hysterectomy for ovarian cancer debulking or staging does not result in cervical recurrence.
