ArticleBMC women's health2026
Laparoscopic type 3 radical hysterectomy with enclosed colpotomy using the Bakay technique for early-stage cervical cancer: a retrospective case series.
Article in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundRecent developments in cervical cancer treatment have highlighted concerns about minimally invasive surgery. Our team explored an innovative approach that might address these concerns while preserving the patient benefits of laparoscopic procedures.
methodsWe studied 11 women with early-stage cervical cancer who underwent surgery using our modified approach. Instead of using traditional uterine manipulators, we employed the Bakay technique—creating a protective seal around the tumor site before removal. This approach aims to prevent cancer cells from spreading during surgery, addressing a key concern with minimally invasive procedures.
resultsOur diverse patient group included women across different age ranges with predominantly squamous cell carcinoma. Two patients needed additional radiation therapy due to specific risk factors. No recurrence was observed in any patient during follow-up (median 35 months; range 8–48 months). The 5-year OS rate, estimated by the Kaplan–Meier method, was 100% in this small series.
conclusionsThis small retrospective series demonstrates that fully laparoscopic tumor containment using the Bakay technique is technically feasible and was associated with no recurrences over a median follow-up of 35 months. These preliminary findings justify evaluation in larger prospective studies designed to determine whether this approach can achieve oncological outcomes comparable to open radical hysterectomy.
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