Laparoscopic Approach to Cervical Cancer

Inclusion Criteria: * Histologically confirmed primary adenocarcinoma, squamous cell carcinoma or adenosquamous carcinoma of the uterine cervix; * Patients with Histologically confirmed stage IA1 (with lymph vascular invasion), stage IA2, or stage IB1 disease * Patients undergoing either a Type II or III radical hysterectomy (Piver Classification) * Patients with adequate bone marrow, renal and hepatic function: * ECOG Performance Status of 0 or 1. * Patient must be suitable candidates for surgery. * Patients who have signed an approved Informed Consent * Patients with a prior malignancy allowed if \> 5 years ago with no current evidence of disease * Females, aged 18 years or older * Negative serum pregnancy test within \<30 days of surgery in pre-menopausal women and women \< 2 years after the onset of menopause Exclusion Criteria: * Any histology other than adenocarcinoma, squamous cell carcinoma or adenosquamous carcinoma of the uterine cervix; * Tumor size greater than 4 cm; * FIGO stage II-IV; * Patients with a history of pelvic or abdominal radiotherapy; * Patients who are pregnant; * Patients with contraindications to surgery; * Patients with evidence of metastatic disease by conventional imaging studies, enlarged pelvic or aortic lymph nodes \> 2cm; or histologically positive lymph nodes * Unfit for Surgery: serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator); * Patients unable to withstand prolonged lithotomy …