Controversy and strategies of laparoscopic surgery for cervical cancer / 中国实用妇科与产科杂志

ABSTRACT

Radical hysterectomy(RH)with bilateral pelvic lymph node dissection is recommended as the standard treatment for early-stage cervical cancer(FIGO stageⅠB1 or ⅡA1 disease).Minimally invasive surgery(MIS)has been adopted as an optimal treatment for early cervical cancer since 20th century for its advantages in perioperative outcomes and comparable oncological outcomes.Not until 2018 were two articles from MD Anderson Center published in The New England Journal of Medicine reversed the situation.Their results suggested that patients who underwent MIS for RH had higher recurrence rates and worse overall survival compared to patients that underwent open surgery.Since then,controversy about open surgery and MIS has continued.This article will discuss the current controversy and stragegies of laparoscopic surgery for cervical cancer.