New Insights on the Minimal-Invasive Therapy of Cervical Cancer
Objective: The ideal management of early-stage cervical cancer has become the subject of a global controversy following the publication of a prospective study in 2018 that reported a worse oncologic outcome when comparing the minimally invasive approach to the laparotomy approach. The discussion inv...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/11/16/4919 |
| _version_ | 1797409559105503232 |
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| author | Khayal Gasimli Lisa Wilhelm Sven Becker Rudy Leon De Wilde Morva Tahmasbi Rad |
| author_facet | Khayal Gasimli Lisa Wilhelm Sven Becker Rudy Leon De Wilde Morva Tahmasbi Rad |
| author_sort | Khayal Gasimli |
| collection | DOAJ |
| description | Objective: The ideal management of early-stage cervical cancer has become the subject of a global controversy following the publication of a prospective study in 2018 that reported a worse oncologic outcome when comparing the minimally invasive approach to the laparotomy approach. The discussion involves both prospective and retrospective data and general and theoretical considerations. We wanted to look at the data available today and review the different opinions, offering an impartial assessment of the ongoing controversy. Methods: The available literature was reviewed, focusing on articles arguing for and against minimally invasive surgery in cervical cancer. We tried to avoid any fundamental bias, as is often evident in the available reviews on the subject. Literature both before and after the 2018 publication was taken into consideration. Results: As is usual in discussions of concepts, the literature that is now available provides arguments for both sides of this challenging issue, depending on one’s standpoint. Science-related writing is not immune to trends. There is a curious shift in opinion seen before and after 2018. One must question whether there was a prejudice in favor of minimally invasive surgery prior to the publication of the NEJM articles and a bias against it afterward. Conclusion: Whether further minimally invasive surgery for cervical cancer is invariable is tied to the more pressing question of how this surgery will have to be centralized in the future. Unless these questions are linked, no satisfactory solution can be found. |
| first_indexed | 2024-03-09T04:16:31Z |
| format | Article |
| id | doaj.art-ad050837120f4d5ead66d9828f6dc4d6 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T04:16:31Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-ad050837120f4d5ead66d9828f6dc4d62023-12-03T13:53:24ZengMDPI AGJournal of Clinical Medicine2077-03832022-08-011116491910.3390/jcm11164919New Insights on the Minimal-Invasive Therapy of Cervical CancerKhayal Gasimli0Lisa Wilhelm1Sven Becker2Rudy Leon De Wilde3Morva Tahmasbi Rad4Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Frankfurt Goethe University Hospital, Theodor-Stern-Kai 7, 60590 Frankfurt, GermanyDepartment of Gynecology and Obstetrics, Division of Gynecologic Oncology, Frankfurt Goethe University Hospital, Theodor-Stern-Kai 7, 60590 Frankfurt, GermanyDepartment of Gynecology and Obstetrics, Division of Gynecologic Oncology, Frankfurt Goethe University Hospital, Theodor-Stern-Kai 7, 60590 Frankfurt, GermanyDepartment of Gynecology, Carl-von-Ossietzky University, 26129 Oldenburg, GermanyDepartment of Gynecology and Obstetrics, Division of Gynecologic Oncology, Frankfurt Goethe University Hospital, Theodor-Stern-Kai 7, 60590 Frankfurt, GermanyObjective: The ideal management of early-stage cervical cancer has become the subject of a global controversy following the publication of a prospective study in 2018 that reported a worse oncologic outcome when comparing the minimally invasive approach to the laparotomy approach. The discussion involves both prospective and retrospective data and general and theoretical considerations. We wanted to look at the data available today and review the different opinions, offering an impartial assessment of the ongoing controversy. Methods: The available literature was reviewed, focusing on articles arguing for and against minimally invasive surgery in cervical cancer. We tried to avoid any fundamental bias, as is often evident in the available reviews on the subject. Literature both before and after the 2018 publication was taken into consideration. Results: As is usual in discussions of concepts, the literature that is now available provides arguments for both sides of this challenging issue, depending on one’s standpoint. Science-related writing is not immune to trends. There is a curious shift in opinion seen before and after 2018. One must question whether there was a prejudice in favor of minimally invasive surgery prior to the publication of the NEJM articles and a bias against it afterward. Conclusion: Whether further minimally invasive surgery for cervical cancer is invariable is tied to the more pressing question of how this surgery will have to be centralized in the future. Unless these questions are linked, no satisfactory solution can be found.https://www.mdpi.com/2077-0383/11/16/4919cervical cancerlaparoscopylaparotomyminimally invasive surgeryoncology |
| spellingShingle | Khayal Gasimli Lisa Wilhelm Sven Becker Rudy Leon De Wilde Morva Tahmasbi Rad New Insights on the Minimal-Invasive Therapy of Cervical Cancer Journal of Clinical Medicine cervical cancer laparoscopy laparotomy minimally invasive surgery oncology |
| title | New Insights on the Minimal-Invasive Therapy of Cervical Cancer |
| title_full | New Insights on the Minimal-Invasive Therapy of Cervical Cancer |
| title_fullStr | New Insights on the Minimal-Invasive Therapy of Cervical Cancer |
| title_full_unstemmed | New Insights on the Minimal-Invasive Therapy of Cervical Cancer |
| title_short | New Insights on the Minimal-Invasive Therapy of Cervical Cancer |
| title_sort | new insights on the minimal invasive therapy of cervical cancer |
| topic | cervical cancer laparoscopy laparotomy minimally invasive surgery oncology |
| url | https://www.mdpi.com/2077-0383/11/16/4919 |
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