Women's Cancer Research Foundation, 699 Diamond Street, Laguna Beach, CA, 92651, USA.
Oso Home Care, Inc., Irvine, CA, USA.
J Robot Surg. 2024 Feb 17;18(1):80. doi: 10.1007/s11701-024-01832-x.
Early-stage cervical cancer (ESCC) is managed with radical hysterectomy, a procedure that can be performed either via open surgery or minimally invasive surgery (MIS), the latter of which is accomplished via traditional laparoscopy or robotic-assisted surgery. Previously, MIS was routinely incorporated into the management of ESCC due to the approach's reduced operative morbidity and truncated hospital stay duration, but more recent clinical evidence has since impugned the efficacy of MIS because of the reportedly inferior disease-free survival and overall survival outcomes compared to open surgery. However, additional studies have documented equivalent outcomes among the various surgical modalities, suggesting further exploration of clinical factors as we endeavor to conclusively determine the standard of care for patients diagnosed with ESCC.
早期宫颈癌（ESCC）采用根治性子宫切除术进行治疗，该手术可以通过开放性手术或微创手术（MIS）完成，后者通过传统腹腔镜或机器人辅助手术完成。此前，由于 MIS 手术的手术发病率降低和住院时间缩短，因此常规将 MIS 纳入 ESCC 的治疗中，但最近的临床证据质疑了 MIS 的疗效，因为与开放性手术相比， MIS 的无病生存率和总生存率较低。然而，其他研究已经证明了各种手术方式之间的结果相当，这表明在我们努力确定 ESCC 患者的护理标准时，需要进一步探讨临床因素。
