Yang XIANG. Challenge of Laparoscopic Surgery for Early-stage Cervical Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(2): 100-102. DOI: 10.3969/j.issn.1674-9081.2019.02.002
Citation: Yang XIANG. Challenge of Laparoscopic Surgery for Early-stage Cervical Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(2): 100-102. DOI: 10.3969/j.issn.1674-9081.2019.02.002

Challenge of Laparoscopic Surgery for Early-stage Cervical Cancer

More Information
  • Author Bio:

    Yang XIANG: Tel:86-10-69155635, E-mail: xiangy@pumch.cn

  • Received Date: November 14, 2018
  • Issue Publish Date: September 17, 2020
  • In recent years, minimally invasive laparoscopic surgery has been widely used in early-stage cervical cancer. Previous retrospective studies have shown that minimally invasive surgery is associated with less intraoperative blood loss, a shorter length of hospital stay, and a lower risk of postoperative complications than the abdominal approach, and yet does not affect survival. But a prospective multicenter randomized controlled clinical trial and a retrospective epidemiological study, which were published in the New England Journal of Medicine on October 30, 2018, showed that minimally invasive surgery in patients with cervical cancer was associated with a higher rate of recurrence and a lower rate of disease-free survival. We can't completely negate the role of laparoscopy in the treatment of cervical cancer. But these results cause our attention and reflection. The choice of the surgical path depends on the characteristics of the patient, disease and personal technology.
  • [1]
    Dargent D, Mathevet P.Radical laparoscopic vaginal hysterectomy[J]. J Gynecol Obstet Biol Reprod(Paris), 1992, 21:709-710. https://www.ncbi.nlm.nih.gov/pubmed/1430921
    [2]
    Nezhat CR, Burrell MO, Nezhat FR, et al. Laparoscopic radical hysterectomy with paraaortic and pelvic node dissection[J]. Am J Obstet Gynecol, 1992, 166:864-865. DOI: 10.1016/0002-9378(92)91351-A
    [3]
    Childers JM, Hatch KD, Tran AN, et al. Laparoscopic para-aortic lymphadenectomy in gynecologic malignancies[J]. Obstet Gynecol, 1993, 82:741-747. https://www.ncbi.nlm.nih.gov/pubmed/8414319
    [4]
    Querleu D.LeBlanc E. Laparoscopic infrarenal paraaortic lymph node dissection for restaging of carcinoma of the ovary or fallopian tube[J]. Cancer, 1994, 73:1467-1471. DOI: 10.1002/1097-0142(19940301)73:5<1467::AID-CNCR2820730524>3.0.CO;2-B
    [5]
    Naik R, Jackson KS, Lopes A, et al. Laparoscopic assisted radical vaginal hysterectomy versus radical abdominal hysterectomy—a randomised phase Ⅱ trial: perioperative outcomes and surgicopathological measurements[J]. BJOG, 2010, 117:746-751. DOI: 10.1111/j.1471-0528.2010.02479.x
    [6]
    Arimoto T, Kawana K, Adachi K, et al. Minimization of curative surgery for treatment of early cervical cancer: a review[J]. Jpn J Clin Oncol, 2015, 45:611-616. DOI: 10.1093/jjco/hyv048
    [7]
    Nam JH, Park JY, Kim DY, et al. Laparoscopic versus open radical hysterectomy in early-stage cervical cancer: long-term survival outcomes in a matched cohort study[J]. Ann Oncol, 2012, 23:903-911. DOI: 10.1093/annonc/mdr360
    [8]
    向阳.腹腔镜在妇科肿瘤手术治疗中的应用历史与现状[J].中华妇产科杂志, 2015, 50:890-893. DOI: 10.3760/cma.j.issn.0529-567x.2015.12.003
    [9]
    Ramirez PT, Frumovitz M, Pareja R, et al. Minimally Invasive versus Abdominal Radical Hysterectomy for Cervical Cancer[J]. N Engl J Med, 2018, 379:1895-1904. DOI: 10.1056/NEJMoa1806395
    [10]
    Melamed A, Margul DJ, Chen L, et al. Survival after Minimally Invasive Radical Hysterectomy for Early-Stage Cervical Cancer[J]. N Engl J Med, 2018, 379:1905-1914. DOI: 10.1056/NEJMoa1804923
    [11]
    Volz J, Koster S, Spacek Z, et al. The influence of pneumoperitoneum used in laparoscopic surgery on an intraabdominal tumor growth[J]. Cancer, 1999, 86:770-774. DOI: 10.1002/(SICI)1097-0142(19990901)86:5<770::AID-CNCR11>3.0.CO;2-3
    [12]
    Lin F, Pan L, Li L, et al. Effects of a simulated CO2pneumoperitoneum environment on the proliferation, apoptosis, and metastasis of cervical cancer cells in vitro[J]. Med Sci Monit, 2014, 20:2497-2503. DOI: 10.12659/MSM.891179
    [13]
    Kong TW, Chang SJ, Piao X, et al. Patterns of recurrence and survival after abdominal versus laparoscopic/robotic radical hysterectomy in patients with early cervical cancer[J]. J Obstet Gynaecol Res, 2016, 42:77-86. DOI: 10.1111/jog.12840
  • Related Articles

    [1]ZHAO Luo, HE Jia, QIN Yingzhi, HAN Zhijun, LIU Hongsheng, LI Shanqing, LI Li. Application of Laparoscopic Jejunostomy in Minimal Invasive McKeown Esophagectomy[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(5): 845-851. DOI: 10.12290/xhyxzz.2021-0635
    [2]WANG Fang, PANG Xiaolin, FAN Xinjuan. Prediction of Survival Status of Locally Advanced Rectal Cancer after Neoadjuvant Chemoradiotherapy Based on Improved Fully Convolutional Networks Model[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(4): 605-612. DOI: 10.12290/xhyxzz.2022-0159
    [3]REN Jing, HE Yonglan, LI Yuan, CAO Ying, XIA Chen, XIANG Yang, XUE Huadan, JIN Zhengyu. The Value of Model Based on Radiomics Features of T2-weighted Imaging and Clinical Feature in Diagnosing the Depth of Stromal Invasion of Cervical Squamous Cell Carcinoma[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(5): 705-712. DOI: 10.12290/xhyxzz.2021-0437
    [4]Chao WANG, Yang-yu ZHAO. Standardize Clinical Medication and Improve Maternal and Neonatal Outcomes: Interpretation on Prevention of Group B Streptococcal Early-onset Disease in Newborns: ACOG Committee Opinion, Number 797[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(4): 402-407. DOI: 10.3969/j.issn.1674-9081.2020.04.008
    [5]Ya-li XU, Xi CAO, Yan LIU, Bin ZHAO, Qiang SUN. Correlation between Molecular Subtypes and the Prognosis in Elderly Women with Breast Cancer: A Case-control Study[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(2): 218-225. DOI: 10.3969/j.issn.1674-9081.20190078
    [6]Wei WANG, Ling-ya PAN. The Concept of Evidence-based Medicine Leads to Better Clinical Outcomes: Guidelines for Enhanced Recovery after Surgery in Gynecologic/ Oncology 2019 Update and Interpretation[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 582-588. DOI: 10.3969/j.issn.1674-9081.2019.06.006
    [7]Lai XU, Yi XIAO, Guo-le LIN, Bin WU, Bei-zhan NIU, Xi-yu SUN, Hui-zhong QIU. Long-term Outcomes of Laparoscopic Surgery for Stage Ⅲ Colon Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(4): 267-270. DOI: 10.3969/j.issn.1674-9081.2015.04.006
    [8]Transfusion-free Medicine and Surgery(2nd ed.) (2014)[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(4): 266-266.
    [9]Rong-rong LI, Kang YU. Nutrition Management of Celiac Disease Improves Outcome of Patients[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(4): 255-259. DOI: 10.3969/j.issn.1674-9081.2015.04.004
    [10]Zhi-kun YANG, Xuan ZOU, Fang-tian DONG. Free Internal Limiting Membrane Flap Transplantation for Unclosed Idiopathic Macular Holes[J]. Medical Journal of Peking Union Medical College Hospital, 2013, 4(4): 425-428. DOI: 10.3969/j.issn.1674-9081.2013.04.016
  • Cited by

    Periodical cited type(4)

    1. 张娅玲,楼金城,张月华,张莎,李田舒,劳云飞. 云南省艾滋病抗病毒治疗“ARTYN”微信公众号及小程序的创建与推广实践. 现代医院. 2025(02): 302-304+309 .
    2. 陈海霞,张吉澄,王珂璐,邹磊. 认知行为管理结合叙事护理对艾滋病患者病耻感的影响. 心理月刊. 2025(03): 173-175 .
    3. 沈银忠,李太生. 《中国艾滋病诊疗指南(2024版)》解读. 中国预防医学杂志. 2025(02): 129-132 .
    4. 乔璐,彭力达,尹艺霖,李炫飞,向真贤,陈志芬. 140例艾滋病患者结肠镜下特征及临床分析. 中华实验外科杂志. 2025(02): 339-342 .

    Other cited types(0)

Catalog

    Article Metrics

    Article views (474) PDF downloads (170) Cited by(4)
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close