Survival of women with early stage cervical cancer in the UK treated with minimal access and open surgery.
AffiliationLancashire Teaching Hospitals NHS Trust, Royal Preston Hospital, Sharoe Green Unit, UK
MetadataShow full item record
AbstractThe recent publication of two papers and an editorial in the New England Journal of Medicine (NEJM) has caused consternation in the gynaecological oncology community (4, 5). Both papers demonstrate a worse outcome for patients undergoing radical hysterectomy by the minimal access route compared to open surgery and thus question the dominant paradigm of the last decade that minimal access surgery is the preferred method by which to carry out radical surgery for cervical cancer. These studies raise many questions but the two most pressing are, firstly, have our patients been disadvantaged by our adoption of minimal access surgery and, secondly, how do we proceed as a gynaecological oncology community in the face of these data? This article is protected by copyright. All rights reserved.
CitationMartin-Hirsch P, Wood N, Whitham NL, Macdonald R, Kirwan J, Anagnostopoulos A, et al. Survival of women with early stage cervical cancer in the UK treated with minimal access and open surgery. BJOG. 2019 Jan 18.
JournalBJOG : an international journal of obstetrics and gynaecology
- Hysterectomy with radiotherapy or chemotherapy or both for women with locally advanced cervical cancer.
- Authors: Kokka F, Bryant A, Brockbank E, Powell M, Oram D
- Issue date: 2015 Apr 7
- [Prognostic analysis of stage Ⅰb2 andⅡa2 cervical squamous cancer without high risk factors treated with neo-adjuvant chemotherapy and radical hysterectomy].
- Authors: Li PP, Li B, Wang YT, Liu SH, Zhang YN, Zhang R, Bai P, Li XG, Wu LY
- Issue date: 2018 Apr 25
- Radical hysterectomy alone or combined with neoadjuvant chemotherapy in the treatment of early stage bulky cervical carcinoma.
- Authors: Chen CA, Cheng WF, Wei LH, Su YN, Hsieh CY
- Issue date: 2002 Mar
- Pathological Risk Factors and Outcomes in Women With Stage IB2 Cervical Cancer Treated With Primary Radical Surgery Versus Chemoradiotherapy.
- Authors: Bradbury M, Founta C, Taylor W, Kucukmetin A, Naik R, Ang C
- Issue date: 2015 Oct
- Laparoscopic versus open radical hysterectomy for stage IB2-IIB cervical cancer in the setting of neoadjuvant chemotherapy: a multi-institutional cohort study.
- Authors: Ghezzi F, Cromi A, Ditto A, Vizza E, Malzoni M, Raspagliesi F, Uccella S, Corrado G, Cosentino F, Gotsch F, Martinelli F, Franchi M
- Issue date: 2013 Jun