Latest developments and techniques in gynaecological oncology surgery

Curr Opin Obstet Gynecol. 2015 Aug;27(4):291-6. doi: 10.1097/GCO.0000000000000186.

Abstract

Purpose of review: To highlight the advances and the data published in the field of gynaecological oncology surgery in the last few years. The review includes not only newly introduced surgical techniques but also data that consolidate recent developments.

Recent findings: Ultimate data on the use of laparoscopy in the treatment of gynaecologic malignancies have proven similar survival outcomes to the traditional surgical route and confirmed the benefits in terms of faster recovery and lower morbidity. Thanks to a faster learning curve, the use of robotic surgery has contributed to the increase in the number of surgeons who moved away from open surgery. A few pioneers are expanding the indications of laparoscopy to exenterative surgery and treatment of ovarian cancer.

Summary: Laparoscopic surgery has become the gold standard treatment for patients with primary endometrial or cervical cancer. The advent of robotic surgery has reinforced the domain of endoscopic surgery.

Publication types

  • Review

MeSH terms

  • Female
  • Fertility Preservation / methods*
  • Fertility Preservation / trends
  • Genital Neoplasms, Female / pathology
  • Genital Neoplasms, Female / surgery*
  • Gynecologic Surgical Procedures* / methods
  • Gynecologic Surgical Procedures* / trends
  • Humans
  • Hysterectomy*
  • Laparoscopy*
  • Learning Curve
  • Organ Sparing Treatments / methods
  • Organ Sparing Treatments / trends
  • Ovarian Neoplasms / pathology
  • Ovarian Neoplasms / surgery*
  • Practice Guidelines as Topic
  • Robotic Surgical Procedures / methods*
  • Robotic Surgical Procedures / trends