Abstract

In this opinion on the randomized study comparing minimally invasive with abdominal radical hysterectomy for early-stage cervical cancer (LACC), the Uterus Commission of the Gynecological Oncology Working Group (AGO) and the Gynecological Endoscopy Working Group (AGE) of the Germany Society of Gynecology and Obstetrics (DGGG) state that, based on their examination of the published data, patients with FIGO stage IA1 (with LVSI), IA2 or IB1 cervical cancer must be informed about the results of this LACC study prior to making a decision on the route for radical hysterectomy.

Highlights

  • In this opinion on the randomized study comparing minimally invasive with abdominal radical hysterectomy for early-stage cervical cancer (LACC), the Uterus Commission of the Gynecological Oncology Working Group (AGO) and the Gynecological Endoscopy Working Group (AGE) of the Germany Society of Gynecology and Obstetrics (DGGG) state that, based on their examination of the published data, patients with FIGO stage IA1, IA2 or IB1 cervical cancer must be informed about the results of this LACC study prior to making a decision on the route for radical hysterectomy

  • Ramirez et al published the results of their randomized study comparing minimally invasive and abdominal radical hysterectomy for early cervical cancer in the New England Journal of Medicine [1]

  • The primary objective of this international randomized multicenter phase-III study was to investigate the hypothesis that laparoscopic or robot-assisted radical hysterectomy is noninferior to abdominal radical hysterectomy with regard to disease-free survival (DFS) after 4.5 years

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Summary

Introduction

In this opinion on the randomized study comparing minimally invasive with abdominal radical hysterectomy for early-stage cervical cancer (LACC), the Uterus Commission of the Gynecological Oncology Working Group (AGO) and the Gynecological Endoscopy Working Group (AGE) of the Germany Society of Gynecology and Obstetrics (DGGG) state that, based on their examination of the published data, patients with FIGO stage IA1 (with LVSI), IA2 or IB1 cervical cancer must be informed about the results of this LACC study prior to making a decision on the route for radical hysterectomy. Ramirez et al published the results of their randomized study comparing minimally invasive and abdominal radical hysterectomy for early cervical cancer (laparoscopic approach to cervical cancer, LACC) in the New England Journal of Medicine [1].

Results
Conclusion

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