J Gynecol Oncol.  2019 Sep;30(5):e104. 10.3802/jgo.2019.30.e104.

Minimally invasive surgery for radical hysterectomy in women with cervical cancer: Korean Society of Gynecologic Oncology, Korean Society of Obstetrics and Gynecology, and Korean Society of Gynecologic Endoscopy and Minimally Invasive Surgery position statement

Affiliations
  • 1Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Korea.
  • 2Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea.
  • 3Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.
  • 4Department of Obstetrics and Gynecology, Ewha Womans University College of Medicine, Seoul, Korea.
  • 5Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea. ybkimlh@snubh.org
  • 6Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
  • 7Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
  • 8Department of Obstetrics and Gynecology, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Korea.
  • 9Department of Obstetrics and Gynecology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 10Department of Obstetrics and Gynecology, Korea University Medical Center, Korea University College of Medicine, Seoul, Korea.
  • 11Department of Obstetrics and Gynecology, Division of Tumor Immunology, Center for Uterine Cancer, and Center for Clinical Trials, National Cancer Center, Goyang, Korea.

Abstract

On the basis of emerging data and the current understanding of minimally invasive surgery (MIS) for radical hysterectomy (RH) in women with cervical cancer, the Korean Society of Gynecologic Oncology, Korean Society of Obstetrics and Gynecology, and Korean Society of Gynecologic Endoscopy and Minimally Invasive Surgery support the following recommendations:"¢ According to the recently published phase III Laparoscopic Approach to Cervical Cancer (LACC) trial"”a prospective randomized clinical trial"”disease-free survival and overall survival rates of MIS RH are significantly lower than those of open RH."¢ Gynecologic oncologists should be aware of the emerging data on MIS RH for early-stage cervical cancer."¢ The results of the LACC trial, together with institutional data, should be discussed with patients before choosing MIS RH."¢ MIS RH should be performed for optimal candidates according to the current practice guidelines by gynecologic oncologists who are skilled at performing MIS.

Keyword

Uterine Cervical Neoplasms; Hysterectomy; Minimally Invasive Surgical Procedures; Laparoscopy; Laparotomy

MeSH Terms

Endoscopy*
Female
Gynecology*
Humans
Hysterectomy*
Laparoscopy
Laparotomy
Minimally Invasive Surgical Procedures*
Obstetrics*
Prospective Studies
Survival Rate
Uterine Cervical Neoplasms*
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