The role played by minimally invasive surgery keeps on extending in dealing with gynecologic cancers. Women who are diagnosed with early-stage cervical cancer and wish to protect their fertility can choose radical vaginal trachelectomy with laparoscopic pelvic lymphadenectomy as it is deemed to be a harmless and sensible option. On the other hand, women who have early-stage cervical cancer but do not wish to have children in the future can opt for laparoscopically assisted radical vaginal hysterectomy which is viable and has been described methodically. The surgery performed via laparotomy in the cooperative Gynecologic Oncology Group LAP 2 study has been compared a lot to the surgical approach of laparoscopic hysterectomy, pelvic and para-aortic lymph node dissection, with or without an omentectomy, and peritoneal washings in the treatment of endometrial cancers in the early stages. The former has finished its accumulation and is said to be a sensible surgical choice. The management of early-stage, advanced-stage, second-look procedures and repetitive disease of ovarian cancer has included minimally invasive surgery. As of recently, it has been seen that bigger volumes of both primary and repetitive gynecologic cancers can be handled through hand-assisted laparoscopy. Sufficient nodal counts have been performed through extraperitoneal laparoscopy for para-aortic and pelvic lymph node dissections which have been deemed to be a viable and safe technique in handling gynecologic cancers.

Link:theoncologist.onlinelibrary.wiley.com/doi/10.1634/theoncologist.11-8-895