Journal of International Obstetrics and Gynecology ›› 2020, Vol. 47 ›› Issue (4): 447-450.

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Controversy over Surgical Treatment of Early-Stage Cervical Cancer and Causes Analysis

WANG Qing-xuan,WANG Tian,HU Yuan-jing   

  1. Department of Gynecological Oncology,Tianjin Central Hospital of Gynecology Obstetrics,Tianjin 300100,China 
  • Received:2019-12-19 Revised:2020-01-11 Published:2020-08-15 Online:2020-08-15
  • Contact: HU Yuan-jing,E-mail:tdjhyj@hotmail.com E-mail:tdj_hyj@sina.com

Abstract: Cervical cancer is one of the most common malignant tumors in gynecology. The main treatment methods for early cervical cancer include abdominal surgery and minimally invasive surgery. Abdominal radical hysterectomy, a traditional surgical procedure for early-stage cervical cancer, has disadvantages of large surgical trauma, large amount of bleeding, and slow recovery of postoperative organ functions. Minimally invasive surgery is praised by most gynecologists for its advantages of less trauma, less blood loss, and rapid recovery. Although it is suggested that laparoscopy ensures the endpoints of safety, feasibility and efficacy, no mature data on oncologic results exists. A prospective study and a large retrospective study of early-stage cervical cancer, which published in the New England Journal of Medicine in 2018, have shown that laparoscopic applications led to an increased recurrence rates and a decline in long-term prognosis, leading to international controversy. It is important to analyze the factors that may affect the prognosis of minimally invasive surgery for cervical cancer, providing the most effective and advanced surgical treatment for cervical cancer patients.

Key words: Uterine cervical neoplasms;, Laparoscopes;, Robotic surgical procedures;, Therapy;, Prognosis