Laparoscopically assisted radical vaginal hysterectomy in early-stage cervical cancer

Abstract

The role of minimally invasive radical hysterectomy for cervical cancer has been questioned1 since the publication of the Laparoscopic Approach to Cervical Cancer (LACC) trial results. However, it is likely that the lower survival rates shown in the minimally invasive surgery (MIS) arm were not directly related to the MIS itself, but rather to technical procedures linked to laparoscopic and robotic-assisted approaches. These include the use of uterine manipulators or the opening of the vagina through the abdominal cavity.2