Open Versus Minimally Invasive Surgery for Cervical Cancer

It is imperative to acknowledge that the LACC trial ignited significant debate and discussion within both the medical and surgical communities. While the trial results raised concerns, they also prompted further examination and exploration of factors potentially contributing to the observed outcome differences.

Potential Topics for the Special Issue on Cervical Cancer

1. Surgical Techniques and Approaches:
Variety of minimally invasive surgery (MIS) techniques used in cervical cancer treatment (laparoscopic, robotic-assisted, single-incision laparoscopic surgery, etc.).
Comparative analysis of MIS techniques and open surgery for cervical cancer.
Role of MIS in various surgical procedures (radical hysterectomy, lymph node dissection, etc.).

2. Challenges and Considerations:
Surgical learning curve and training requirements.
Patient selection criteria for MIS in cervical cancer.
Role of MIS in advanced-stage cervical cancer.
Management of complications and limitations of MIS.

3. Oncological Outcomes:
Review of clinical studies and trials comparing oncological outcomes of MIS and open surgery.
Long-term disease-free survival rates in patients with cervical cancer treated using MIS.
Influence of surgeon expertise on oncological outcomes.

4. Technological Advances:
Integration of robotics and advanced imaging in MIS for cervical cancer.
Role of fluorescence-guided surgery and other intraoperative technologies.

5. Future Directions and Research:
Emerging trends and innovations in MIS for cervical cancer.
Ongoing clinical trials and research studies to further assess MIS outcomes.
Potential areas for improvement and research emphasis.

6. Multidisciplinary Approach:
Collaborative decision-making involving gynecologic oncologists, surgeons, radiologists, and pathologists.
Role of radiation therapy and medical oncology in combined treatment strategies.