Presently due to technological advances, operative laparoscopy now plays a crucial role in the management of pelvic malignancies. With newly developed techniques to complete both pelvic and para-aortic lymph node dissection, the use of the laparoscope has increased in patients with pelvic malignancies. Gynecological oncologists are currently incorporating the techniques of operative laparoscopy in the management of patients with cervical, endometrial, and ovarian cancer.
Aim
To review literature on the role of minimal invasive surgery in various gynecological cancers.
Materials and methods
These were drawn from previous research materials online in PubMed, Cochrane library, Wikipedia.
Conclusion
Minimal invasive surgical approaches to the management of gynecologic malignancies are feasible and provide exciting alternatives. However, the safety and efficacy of these techniques compared to laparotomy in this setting has not been carefully studied. Potential advantages include shorter operative time for some procedures, shorter recovery times, and less adhesion formation. These new surgical techniques need to be evaluated critically and compared to more traditional approaches.
How to cite this article
Shitole R. Role of Minimally Invasive Surgery in Gynecological Cancers. World J Lap Surg 2015;8(3): 96-100.
Pretreatment laparoscopic surgical staging in locally advanced cervical cancer: preliminary results in Korea. Gynecol Oncol 2005;97(2):468-475.
Vaginal radical hysterectomy vs abdominal radical hysterectomy in the treatment of early-stage cervical cancer. Gynecol Oncol 1996;62(3):336-339.
Laparoscopic radical hysterectomy (type III) with aortic and pelvic lymphadenectomy in patients with stage I cervical cancer: surgical morbidity and intermediate follow-up. Am J Obstet Gynecol 2002;187(2):340-348.
Total laparoscopic radical hysterectomy with pelvic lymphadenectomy using the argon-beam coagulator: pilot data and comparison to laparotomy. Gynecol Oncol 2003;91(2):402-409.
Is there a benefit of pretreatment laparoscopic transperitoneal surgical staging in patients with advanced cervical cancer? Gynecol Oncol 2005;99(3):536-544.
Explorative laparoscopy prior to exenterative surgery. Gynecol Oncol 2002;86(3):311-315.
Laparoscopicassisted vaginal hysterectomy for endometrial cancer: clinical outcomes and hospital charges. Gynecol Oncol 1999;73(1):5-11.
Laparoscopy vs laparotomy in endometrial cancer: first analysis of survival of a randomized prospective study. J Minim Invasive Gynecol 2005;12(2):130-136.
Quality of life after total laparoscopic hysterectomy vs total abdominal hysterectomy for stage I endometrial cancer (LACE): a randomised trial. Lancet Oncol 2010;11(8):772-780.
Total laparoscopic hysterectomy vs abdominal hysterectomy in the treatment of patients with early stage endometrial cancer: a randomized multi center study. BMC Cancer 2009;9(1):23.
Surgical staging of uterine cancer. Randomized phase III trial of laparoscopy vs laparotomy: a gyneclogic oncology group study (GOG): preliminary results. J Clin Oncol: ASCO annual proceedings part 1 2006;24(18S):5010
The safety and efficacy of laparoscopic surgical staging of apparent stage I ovarian and fallopian tube cancers. Am J Obstet Gynecol 2005;192(5):1614-1619.
Laparoscopic restaging of early stage invasive adnexal tumors: a 10-year experience. Gynecol Oncol 2004;94(3):624-629.
Evaluations of laparoscopic surgery in the early stage malignant tumor of ovary with lower risk. Zhonghua Yi Xue Za Zhi 2005;85(3):169-172.
Diagnostic open laparoscopy in the management of advanced ovarian cancer. Gynecol Oncol 2006;100(3):455-461.
Laparoscopic retroperitoneal lymphadenectomy followed by immediate laparotomy in women with cervical cancer: a gynecologic oncology group study. Gynecol Oncol 2002;85(1):81-88.
Subcutaneous tumor implantation after laparoscopic procedures in women with malignant disease. Obstet Gynecol 2004;103(3):480-487.
Hysterectomy for obese women with endometrial cancer: laparoscopy or laparotomy? Gynecol Oncol 2000;78(3):329-335.
Laparoscopic surgery in obese women with endometrial cancer. J Am Assoc Gynecol Laparosc 2000;7(2):83-88.
Laparoscopic staging of the patient with incompletely staged early adenocarcinoma of the endometrium. Obstet Gynecol 1994;83(4):597-600.
Ten-year experience with laparoscopy on a gynecologic oncology service: analysis of risk factors for complications and conversion to laparotomy. Am J Obstet Gynecol 2004;191(4):1138-1145.
A multiinstitutional experience with roboticassisted hysterectomy with staging for endometrial cancer. Obstet Gynecol 2009;114(2):236-243.
Surgical outcomes of robotic-assisted surgical staging for endometrial cancer are equivalent to traditional laparoscopic staging at a minimally invasive surgical center. Gynecol Oncol 2010;117(2):224-228.