医学
宫颈癌
根治性子宫切除术
阶段(地层学)
侵入性外科
子宫切除术
根治性手术
外科
癌症
临床试验
腹腔镜检查
回顾性队列研究
普通外科
内科学
生物
古生物学
作者
Giorgio Bogani,Violante Di Donato,Ludovico Muzii,Jvan Casarin,Fabio Ghezzi,Mario Malzoni,Stefano Greggi,Fabio Landoni,Luca Bazzurini,Vanna Zanagnolo,Francesco Multinu,Roberto Angioli,Francesco Plotti,Giuseppe Caruso,Margherita Fischetti,G. Ferrandina,Innocenza Palaia,Pierluigi Benedetti Panici,Giovanni Scambia,Francesco Raspagliesi
标识
DOI:10.1016/j.ejogrb.2022.06.004
摘要
Surgery is the mainstay of treatment in the management of early-stage cervical cancer. Until the publication of the Laparoscopic Approach to Cervical Cancer (LACC) trial, minimally invasive radical hysterectomy was the recommended approach to treat patients with early-stage disease. The results of the LACC trial questioned the adoption of minimally invasive surgery in cervical cancer. In comparison with the open approach, minimally invasive surgery correlated with worse disease-free and cancer-specific survival. Similarly, other retrospective studies highlighted this correlation, thus corroborating the results of the LACC trials. In the present review, we evaluated current evidence and further prospective of the adoption of minimally invasive radical hysterectomy in cervical cancer. Moreover, we sought to assess some unsolved issues regarding the role of minimally invasive surgery in early-stage cervical cancer patients.
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