About this Research Topic

Background

The gold standard of treatment for patients with cervical cancer (CC) is radical hysterectomy (RH). Growing evidence is supporting the minimally invasive (MIS) approach, i.e. laparoscopy and robotics for CC early stage. In recent years, several trials have been evaluating results associated with minimally invasive surgical approach, demonstrating many surgical benefits but unexpected suboptimal oncological outcomes. Thus, a lot of ambiguity and ongoing debates on this topic compelled the global community to re-assess the choice of the most suitable surgical approach.

The aims of this Research topic are to focus on oncological and surgical outcomes by comparing laparotomic hysterectomy versus minimally-invasive hysterectomy for CC early stage patients, and to highlight possible fertility-sparing strategies, ensuring cancer safety at the same time.

The authors might analyze in depth the state of the art in the comparison between MIS and laparotomic surgery in terms of overall survival, free survival progression, recurrence rate, intra- and postoperative complications, aiming to highlight which approach guarantees the best fertility sparing for CC patients in term of efficacy and safety. In addition, the potential authors could explore possible future perspectives to improve patient outcomes according to the chosen surgical approach. It would be appropriate to collect original articles, meta-analyses and reviews.

Keywords: cervical cancer, hysterectomy, laparotomy, minimally-invasive surgery, overall survival, progression free survival, recurrence rate, laparoscopic hysterectomy, radical hysterectomy, fertility-sparing

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