Please wait a minute...
European Journal of Gynaecological Oncology  2021, Vol. 42 Issue (1): 30-37    DOI: 10.31083/j.ejgo.2021.01.2270
Special Issue: Topic Collection "Minimally Invasive Surgery in Gynecological Oncology"
Systematic Review Previous articles | Next articles
Surgical approach in early stage cervical cancer: the Asian view point
Hiroko Machida1, 2, Hiroshi Yoshida1, Kenji Izumi1, Rie Nakajima1, Miwa Yasaka1, Tetsuji Iida1, Masae Ikeda1, Masako Shida1, Takeshi Hirasawa1, Mikio Mikami1, *()
1Department of Obstetrics and Gynecology, Tokai University School of Medicine, Shimokasuya, Isehara, 259-1100 Kanagawa, Japan
2Department of Obstetrics and Gynecology, Toyohashi general hospital, 440-0001 Toyohashi, Japan
Download:  PDF(800KB)  ( 62 ) Full text   ( 13 )
Export:  BibTeX | EndNote (RIS)      
Abstract  
Objective: To examine the current practice of radical hysterectomy for early-stage cervical cancer in Asia after the Laparoscopic Approach to Cervical Cancer (LACC) trial. Methods: A cross-sectional study was conducted in Asia to examine the prevalence and management of women with early-stage cervical cancer. The study was conducted among gynecologic oncologists at leading hospitals in the Asian Society of Gynecologic Oncology Council members. A systematic literature review was performed to examine the association between survival outcomes and surgical approach after the LACC trial. Results: Seven countries participated voluntarily in the study. The incidence, mortality, and centralization of treatment in early-stage cervical cancer were different among the seven countries. The number of specialized centers per population density in Japan was higher than that in the other countries. Minimally invasive surgery (MIS) approach for cervical cancer was common in Korea (56%) and Hong Kong (80-90%), but not in the other countries (2-20%). In the systematic review, there was a significant difference in survival outcomes between MIS and open surgery (recurrence, hazard ratio 1.83, 95% confidence interval 1.27-2.62). MIS without a uterine manipulator or making a vaginal cuff closure produced similar recurrence rates compared with open surgery (MIS without uterine manipulator vs open-surgery: 10.5% vs 10.1%, and MIS with cuff closure vs open-surgery 7.2% vs 10.1%; all P > 0.05). Conclusion: The prevalence of MIS for early-stage cervical cancer varies across Asian regions after the LACC trial. Surgical methods to avoid tumor spillage may be useful for improving survival.
Key words:  Cervical cancer      Radical hysterectomy      Minimally invasive surgery      Uterine manipulator      Vaginal cuff closure      Survival     
Submitted:  15 October 2020      Revised:  16 November 2020      Accepted:  20 November 2020      Published:  15 February 2021     
*Corresponding Author(s):  Mikio Mikami     E-mail:  mmikami@is.icc.u-tokai.ac.jp

Cite this article: 

Hiroko Machida, Hiroshi Yoshida, Kenji Izumi, Rie Nakajima, Miwa Yasaka, Tetsuji Iida, Masae Ikeda, Masako Shida, Takeshi Hirasawa, Mikio Mikami. Surgical approach in early stage cervical cancer: the Asian view point. European Journal of Gynaecological Oncology, 2021, 42(1): 30-37.

URL: 

https://ejgo.imrpress.com/EN/10.31083/j.ejgo.2021.01.2270     OR     https://ejgo.imrpress.com/EN/Y2021/V42/I1/30

[1] Yuichiro Miyamoto, Michihiro Tanikawa, Kenbun Sone, Mayuyo Mori-Uchino,Tetsushi Tsuruga, Yutaka Osuga. Introduction of minimally invasive surgery for the treatment of endometrial cancer in Japan: a review[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 10-17.
[2] Marit Sundset, Anne Dybdahl Wanderås, Signe Danielsen, Mirjam Delange Alsaker, Bjørn Hagen, Anne Beate Langeland Marthinsen. 3D image guided adaptive brachytherapy in patients with locally advanced cervical cancer: experience and clinical results from a minimum of six years of follow-up[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 73-80.
[3] Tomohito Tanaka, Shoko Ueda, Shunsuke Miyamoto, Shinichi Terada, Hiromi Konishi, Yuhei Kogata, Satoe Fujiwara, Yoshimichi Tanaka, Kohei Taniguchi, Kazumasa Komura, Masahide Ohmichi. Short-term outcomes for patients with endometrial cancer who received robot-assisted modified radical hysterectomy: A retrospective observational study[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 90-95.
[4] Motoki Matsuura, Masato Tamate, Sachiko Nagao, Muna Nishio, Tadahi Okada, Yoko Nishimura, Kyoko Isoyama, Noriko Terada, Tsuyoshi Saito. Study of laparoscopic monopolar devices and its thermal effects[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 118-121.
[5] Kaori Hoshino, Yasuyuki Kinjo, Hiroshi Harada, Taeko Ueda, Yoko Aoyama, Midori Murakami, Seiji Kagami, Yusuke Matsuura, Kiyoshi Yoshino. Outcomes and complications of total laparoscopic hysterectomy after conization[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 122-128.
[6] Yu-Yi Ou, Shuang Liu, Jian-Lan Zhang, Hui-Zhi Yuan, Yu-Hua Zheng. Effects of whole-course standardized nursing and humanistic care on the sleep condition and quality of life of elderly patients undergoing hysterectomy for cervical cancer[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 154-160.
[7] Zen Watanabe, Hideki Tokunaga, Masumi Ishibashi, Shogo Shigeta, Keita Tsuji, Tomoyuki Nagai, Masahito Tachibana, Muneaki Shimada, Nobuo Yaegashi. A modified technique of laparoscopic radical trachelectomy combined with extracorporeal cervical amputation through a mini-laparotomy[J]. European Journal of Gynaecological Oncology, 2021, 42(1): 183-188.
[8] Rikako Soma, Tadahiro Shoji, Chie Sato, Hidetoshi Tomabechi, Takayuki Nagasawa, Masahiro Kagabu, Tsukasa Baba. Successful treatment with CPT-11 plus S-1 therapy in a patient with primary signet-ring cell carcinoma of the uterine cervix: A case report and literature review[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 868-872.
[9] Mei Kang, Liyang Zhu, Yichun Wang. Anatomical analysis of distant lymph node metastasis from cancer of the uterine cervix: a case report and literature review[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 884-888.
[10] Qing-Hui Kan, Ying-Lin Wang, Mei-Ling Xu, Fu-Yun Tong, Yong-Sheng Shi. Network meta-analysis of targeted drugs in combination with chemotherapy for advanced/metastatic triple-negative breast cancer treatment[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 897-905.
[11] Angel Yordanov, Ivan Ivanov, Tereza Dineva, Sаvelina Popovska, Milena Karcheva, Strahil Strashilov, Stoyan Kostov, Stanislav Slavchev, Assia Konsoulova, Mariela Vasileva-Slaveva. Lymphoepithelioma-like carcinoma of the uterine cervix: correlation with Epstein-Barr virus and human papillomavirus infection. A single-center experience[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 913-918.
[12] Angel Yordanov, Stanislav Slavchev, Stoyan Kostov, Strahil Strashilov, Mariela Vasileva-Slaveva, Assia Konsoulova. Synchronous Primary Carcinoma of Uterine Cervix and Endometrium - Single-center retrospective study[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 939-942.
[13] Marziyeh Najafi, Zahra Nazari, Roya Shamsi, Omid Nikpayam, Alireza Bahrami, Azita Hekmatdoost, Ehsan Hejazi. Dietary patterns and risk of cervical cancer: A case-control study[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 943-948.
[14] Qianxin Chen, Jiajia Hu, Xingwang Sun, Wenbo Long. Transcriptome sequencing reveals pathways and genes dysregulated in HPV infected cervical cancer[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 996-1003.
[15] Lin Wang, Sulaiya Husaiyin, Peifeng Xu, Xiaoli Wang, Lili Han, Mayinuer Niyazi. Polymorphisms of human papillomavirus type 16 E7 in Uyghur women with cervical cancer[J]. European Journal of Gynaecological Oncology, 2020, 41(6): 1010-1015.
No Suggested Reading articles found!