Laparoscopic management of cervical and endometrial cancer in Africa: experience of the National Hospital Centre of Pikine

Moussa Diallo, Abdoul Aziz Diouf, Aminata Niass, Astou Coly Niassy Diallo, Cyr Esperence Gombet, Magatte Mbaye, Babacar Biaye, Sophie Coulbary, Mori Niang, Codou Sene, Anna Dia, Alassane Diouf


Background: Laparotomy represents the standard historical surgical approach to these cancers. Process of treatment of benign adnexal pathologies to the emergence of a new pathway for the management of these cancerous pathologies.

Methods: Our prospective study from December 2016 to December 2018 included 10 patients with early-stage uterine cancer and endometrial cancer confirmed by MRI. The characteristics of patients, their cancer, their intervention and morbidity were revealed.

Results: Our results show that the average age of the patients was 63 years; There were 2 cases of cervical cancer and 8 cases of endometrial cancer. For cervical cancer, it was essentially squamous cell carcinoma; one patient was at stage Ia2 and the other at stage Ib1. For endometrial cancers, squamous cell carcinoma was 80%; 6 patients were in stage IB and 2 in stage IC. Of the 10 patients undergoing surgery, 9 had laparoscopic colpohysterectomy and lymphadectomy and one complementary laparoscopic lymphadenectomy. The average number of lymph nodes removed was 9 and no lymph node metastasis was found. In the immediate postoperative period, one patient had transient urinary incontinence and another had vaginal slice lymphorhea.

Conclusions: The main interest of this practice is to be the least morbid possible for patients at the early stage. With our short experience, we obtained a reduction in operating time, a reduction in hospital stay, a decrease in the consumption of analgesics and antibiotics postoperatively and a reduction in per and postoperative complications.


Cervical cancer, Endometrial cancer, Pelvic laparoscopy, Senegal

Full Text:



Uzan C, Vincens E, Mazeron R, Balleyguier C, Haie-Meder C, Morice P. Traitement des cancers du col de stade précoce. EMC-Gynécologie. 2010;5(2):1-13.

Bendifallah S, Canlorbe G. Prise en charge des tumeurs bénignes du sein épidémiologiquement fréquentes de type adénofibrome, phyllode (grade 1 et 2), et papillome: recommandations. J de Gynecol Obstét et Biol de la Reprod. 2015;44:1017-29.

Childers JM, EA S. Combined laparoscopic vaginal surgery for the management of two cases of stage I endometrial cancer. Gynecol Oncol. 1992;45:46-51.

Roux CL, Sentilhes L, Catala L, Lefebvre-Lacoeuille C, Poilblanc M, Descamps P. Place of laparoscopy in the surgical treatment of cancers of the cervix, endometrium and ovary in France: results a national practice survey. J Phys Obstet Gynaecol Reprod Biol. 2011;40:231-6.

Colombo N, Carinelli S, Colombo A, Marini C, Rollo D, Sessa C. Cervical cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2012;23(Supplement 7):vii27-vii32.

International Committee of the Red Cross. Press release n°263. 2018.

Nam JH, Kim JH, DY K. Comparative study of laparospico-vaginal radical hysterectomy and abdominal radical hysterectomy in patients with early cervical cancer. Gynecol Oncol. 2004;92:277-83.

Franklin ME, Kazantsev GB, Abrego D, Diaz-E JA, Balli J, JL G. Laparoscopy surgery for stage III colon cancer: long-term follow-up. Surg Endosc. 2000;14:612-6.

Guillonneau B, El-fettouh H, Baumert H, Cathelineau X, Doublet JD. Laparoscopic radical prostatectomy: oncological evaluation after 1,000 cases at Montsouris Institute. J Urol. 2003;169:1261-6.

Steed H, Rosen B, Murphy J, Laframboise S, Petrillo D, Covens A. A comparison of laparascopic-assisted radical vaginal hysterectomy and radical abdominal hysterectomy in the treatment of cervical cancer. Gynecol Oncol. 2004;93:588-93.

Hidlebaugh DA, RK O. Staging endometrioid adenocarcinoma. Clinical and financial comparison of laparoscopic and traditional approaches. J Reprod Med. 1997;42:482-8.

Lacy AM, Garcia-Valdecasas JC, Delgado S, Castells A, Taura P, JM P. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomized trial. Lancet. 2002;359:2224-9.

Canis M, Farina M, Jardon K, Rabischong B, Rivoire C, Nohuz E, et al. Cœlioscopie et cancer en gynécologie. J Gynecol Obstet Biol Reprod. 2005;35117-35.

Mage G, Bournazeau JA, Canis M, Glowaczower E, Masson FN. Treatment of endometrial clinical stage I adenocarcinoma by laparoscopy surgery. Seventeen cases. J Gynecol Obstet Biol Reprod. 1995;24:485-90.

Malur S, Possover M, Michels W. Laparoscopic-assisted vaginal versus abdominal surgery in patients with endometrial cancer: a prospective randomized trial. Gynecol Oncol. 2001;80:239-44.

NCCN. Guidelines Cervix cancer. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®). 2017;2017.

Occeli B, Samouelian V, Narducci F, Leblanc E. The choice of approach in surgical management of endometrial carcinoma: a retrospective serie of 155 cases. Bull Cancer. 2003;90:347-55.

Roberto T, Christhardt K, Alfonso F, Schneider A. Laparoscopic treatment of early ovarian cancer: surgical and survival outcomes. Gynecol Oncol. 2004;93:199-203.

Tozzi R, Malur S, Koehler C. Laparoscopy versus laparotomy in endometrial cancer: first analysis of survival of a randomized prospective study. J Minim Invasive Gynecol. 2005;12:130-6.

Trimbos JB, Hellebrekers BW, Kenter GG, Peters LA. The long learning curve of gynaecological cancer surgery: an argument for centralization. BJOG. 2000;17:19-23.