Role of laparoscopic hysterectomy in cervical and endometrial cancer: a narrative review

Gitas, Georgios; Pados, George; Laganà, Antonio Simone; Guenther, Veronika; Ackermann, Johannes; Alkatout, İbrahim

doi:10.1080/13645706.2022.2154166

Cited by 6 publications

(2 citation statements)

References 64 publications

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“…The minimally invasive approach was chosen also in case of CC, since until November 2018 we had no strong evidence showing poorer survival outcomes with this type of surgery compared to the open surgical approach [ 21 ]. Indeed, until 2018, the laparoscopic approach was a potential alternative to laparotomic surgery because it was associated with a lower morbidity rate and similar oncologic outcomes [ 22 , 23 , 24 ]. Nevertheless, since 2018, much has changed in the surgical concepts of cervical and uterine cancer, including indications of minimally invasive surgery, sentinel node biopsy, and pelvic lymph node dissection, as further discussed in next sections.…”

Section: Methodsmentioning

confidence: 99%

Beyond Sentinel Lymph Node: Outcomes of Indocyanine Green-Guided Pelvic Lymphadenectomy in Endometrial and Cervical Cancer

Chiofalo¹,

Laganà

Ghezzi

et al. 2023

IJERPH

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Background: The aim of our study was to compare the number of lymph nodes removed during indocyanine green (ICG)-guided laparoscopic/robotic pelvic lymphadenectomy with standard systematic lymphadenectomy in endometrial cancer (EC) and cervical cancer (CC). Methods: This is a multicenter retrospective comparative study (Clinical Trial ID: NCT04246580; updated on 31 January 2023). Women affected by EC and CC who underwent laparoscopic/robotic systematic pelvic lymphadenectomy, with (cases) or without (controls) the use of ICG tracer injection within the uterine cervix, were included in the study. Results: The two groups were homogeneous for age (p = 0.08), Body Mass Index, International Federation of Gynaecology and Obstetrics (FIGO) stages (p = 0.41 for EC; p = 0.17 for CC), median estimated blood loss (p = 0.76), median operative time (p = 0.59), and perioperative complications (p = 0.66). Nevertheless, the number of lymph nodes retrieved during surgery was significantly higher (p = 0.005) in the ICG group (n = 18) compared with controls (n = 16). Conclusions: The accurate and precise dissection achieved with the use of the ICG-guided procedure was associated with a higher number of lymph nodes removed in the case of systematic pelvic lymphadenectomy for EC and CC.

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Section: Methodsmentioning

confidence: 99%

Beyond Sentinel Lymph Node: Outcomes of Indocyanine Green-Guided Pelvic Lymphadenectomy in Endometrial and Cervical Cancer

Chiofalo¹,

Laganà

Ghezzi

et al. 2023

IJERPH

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“…Cancer antigen is treated through radical hysterectomy, either through conventional laparotomy or laparoscopic surgery (minimally invasive surgery) [ 14 , 15 ]. The latter has been proven to be superior to conventional laparotomy in terms of less intraoperative and postoperative bleeding, lower incidence of lymphocystis, and shorter catheter removal time and hospital stay, while it has equivalent efficacy on complete removal of lymph nodes [ 16 ] and in reducing the levels of circulant biomarkers, such as cancer antigen 125, carcinoembryonic antigen, the soluble form of interleukin 2 receptor (sIL-2R), and tumour necrosis factor α[ 13 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Early-stage cervical cancer treatment – what’s new?

Dio,

Azenkoud,

Trezza

et al. 2023

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The gold standard of treatment for patients with early-stage cervical cancer is radical hysterectomy, in agreement with the entire scientific community. During the last decade, growing evidence has supported the minimally invasive approach. Several studies have suggested that the minimally invasive approach could improve surgical and perioperative outcomes. Because of these findings, ESCO/ESTRO/ESP guidelines state that a “minimally invasive approach is favoured” in comparison with open surgery, as a grade B recommendation. Because of the lack of a grade A recommendation, this randomized Laparoscopic Approach to Cervical Cancer trial evaluated open vs. minimally invasive approach in the early stage. It demonstrated an increase in mortality among patients treated with minimally invasive surgery, revolutionizing current thinking on the primary surgical approach to early cervical cancer. The aim of this study is to analyse which is the best treatment for early cervical cancer and which approach is the most effective at the moment. Further studies are needed to state with certainty the appropriateness of the treatments offered to patients with early cervical cancer.

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Outcomes of conventional and advanced energy devices in laparoscopic surgery: a systematic review

Abi Antoun,

Etrusco,

Chiantera

et al. 2024

Minimally Invasive Therapy & Allied Technologies

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Role of laparoscopic hysterectomy in cervical and endometrial cancer: a narrative review

Cited by 6 publications

References 64 publications

Beyond Sentinel Lymph Node: Outcomes of Indocyanine Green-Guided Pelvic Lymphadenectomy in Endometrial and Cervical Cancer

Beyond Sentinel Lymph Node: Outcomes of Indocyanine Green-Guided Pelvic Lymphadenectomy in Endometrial and Cervical Cancer

Early-stage cervical cancer treatment – what’s new?

Outcomes of conventional and advanced energy devices in laparoscopic surgery: a systematic review

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