Assessing minimally invasive simple hysterectomy in low risk cervical cancer: set up for the LASH trial.

IF 4.1 2区 医学 Q1 OBSTETRICS & GYNECOLOGY International Journal of Gynecological Cancer Pub Date : 2024-11-04 DOI:10.1136/ijgc-2024-005941
Nicolò Bizzarri, Nadeem R Abu-Rustum, Marie Plante, Pedro T Ramirez, Luis Chiva, Henrik Falconer, David Cibula, Denis Querleu, Francesco Fanfani, Anna Fagotti, Giovanni Scambia
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Abstract

After the publication of the Laparoscopic Approach to Cervical Cancer (LACC) trial, open surgery has become the standard approach for radical hysterectomy in early stage cervical cancer. Recent studies assessed the role of a non-radical approach in low risk cervical cancer and showed no survival difference compared with radical hysterectomy. However, there is a gap in knowledge regarding the oncologic outcomes of minimally invasive simple hysterectomy in low risk cervical cancer. This review offers an overview of the current evidence on the role of the minimally invasive approach in low risk cervical cancer and raises the need for a new clinical trial in this setting.

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评估低风险宫颈癌的微创单纯子宫切除术:LASH 试验的准备工作。
腹腔镜治疗宫颈癌(LACC)试验公布后,开腹手术已成为早期宫颈癌根治性子宫切除术的标准方法。最近的研究评估了非根治性方法在低风险宫颈癌中的作用,结果显示与根治性子宫切除术相比,两者的生存率没有差异。然而,在低风险宫颈癌的微创单纯子宫切除术的肿瘤学结果方面还存在知识空白。本综述概述了微创方法在低风险宫颈癌中作用的现有证据,并提出了在这种情况下进行新临床试验的必要性。
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来源期刊
CiteScore
6.60
自引率
10.40%
发文量
280
审稿时长
3-6 weeks
期刊介绍: The International Journal of Gynecological Cancer, the official journal of the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology, is the primary educational and informational publication for topics relevant to detection, prevention, diagnosis, and treatment of gynecologic malignancies. IJGC emphasizes a multidisciplinary approach, and includes original research, reviews, and video articles. The audience consists of gynecologists, medical oncologists, radiation oncologists, radiologists, pathologists, and research scientists with a special interest in gynecological oncology.
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