Abstract: Objective: To investigate the feasibility and application of laparoscopic retroperitoneal lymph node dissection（LRLD） in locally advanced cervical cancer （LACC）. Methods: 41 cases in Tumor Hospital Affiliated to Guangxi Medical University diagnosed by pathology and FIGO 2009 staging of cervical cancer patients with stage ⅡB ~ ⅥA were divided into the LRLD group（n=21） and the abdominal cavity group（n=20），we performed laparoscopic abdominal aorta by abdominal cavity and peritoneal lymph nodes+pelvic lymph adenectomy. Results: 21 cases LRLD group （1 case failed to establish pneumoperitoneum process），the abdominal cavity group 20 cases were operated smoothly，including extraperitoneal group with the mean operation time（199.94±12.37） min，mean recovery time of gastrointestinal（13.54±2.35） h and urine tube（6.42 ±0.74） h function，and the time between surgery and radiotherapy（10.50 ±2.90） d，mean blood loss（55.20±10.52） mL，has statistically significantly lower than abdominal cavity group （all P＜0.05）. Conclusions: LRLD has more advantages in the application of LACC than abdominal cavity, compensate for the insufficient of imaging examination in diagnosis of cervical lymph node metastases.

Key words: Uterine cervical neoplasms, Carcinoma, Laparoscopes, Laparoscopy, Lymph node excision