关键词: 子宫颈肿瘤, 微创手术, 开腹手术

Abstract: Laparoscopy has been widely used in the surgical treatment of early stage cervical cancer.However，the unexpected results of LACC reported by Pedro T.Ramirez，et al.in the New England Journal of Medicine that minimally invasive surgery was associated with significantly increased risks of disease recurrence and death of cervical cancer patients sounded the warning bell.Meanwhile，the less rigorous study design of the trail of Ramirez，et al，particularly the disparity of surgical competency and experience of the included centers，has been criticized，because that possibly led to bias in the results.That triggered a great debate and caused a choice dilemma over surgery approaches.Hereby，we analyzed the limitations of LACC trial and the potential problems and advantages of laparoscopic surgery to find out the answer to the question whether laparoscopic surgery should be abandoned in cervical cancer or not and the direction  which we should head towards in the post-LACC era.

Key words: cervix neoplasms, minimally invasive surgery, abdominal surgery