Objective: to evaluate the efficiency of operative laparoscopy as an alternative to laparotomy for invasive cervical cancer (CC). Subjects and methods. In July 2013 to October 2014, laparoscopic radical hysterectomy with pelvic lymphadenectomy was carried out in 11 patients aged 31 to 59 years with Stages IA2—IB CC. Surgery was performed as expanded laparoscopic extirpation of the uterus and its appendages in 6 (55.5%) patients; ovarian transposition undertaken to preserve ovarian function was one of the surgical operations in the remaining patients whose age was less than 40 years. Further treatment depended on the results of histological examination of removed tissue. Results. The mean time for surgery was 252±12.5 min; mean blood loss was 118±10 ml. No intraoperative complications were seen in the study group; no conversion was done. One patient was observed to have postoperative complications as postcoagulation necrosis of the ureteric wall on postoperative day 13. The mean number of removed pelvic lymph nodes was 21.4±1.2; the parametrial and vaginal resection margins corresponded to the index R0. During a median follow-up of 5.5 months, all the patients were alive; no disease progression was noted; the patients are being thoroughly followed up. Conclusion. Potentially, video-assisted endoscopic radical hysterectomy with pelvic lymphadenectomy may become adequate and, due to the advantages of a minimally invasive approach, a more preferential alternative to the classical Wertheim operation in patients with invasive CC. Further accumulation of materials is required to evaluate the safety and efficiency of this approach from an oncological standpoint.