Laparoscopic or Minimally Invasive Surgery in the Treatment of Cervical Cancer

Abstract

Cervical cancer is the most common cause of death in female patients over 45 years of age. Surgical treatment (laparoscopic total hysterectomy and radical hysterectomy plus laparoscopic pelvic lymphadenectomy) is the most curative therapeutic resource in the initial stages (Ia1, Ia2 and Ib1). The treatment adopted in the development of this pathology is fundamental as the technique used to determine the prognosis of cervical cancer and obtain information on lymphatic involvement. Imaging techniques have advanced in recent years, but the only reliable way to detect lymph node involvement is the pathological study of the extracted pieces. The goal of laparoscopic staging is to assess bladder, bowel, and lymph node involvement and intra-abdominal disease. Laparoscopic pelvic and lumboaortic lymphadenectomy is effective in staging and treating gynecologic cancers. Laparoscopic lumboaortic lymphadenectomy has few complications, rescues an acceptable number of lymph nodes, and requires a shorter hospital stay. In addition, it identifies cervical cancers that require extended-field radiation therapy.