Abstract:

Radical hysterectomy（RH）with bilateral pelvic lymph node dissection is recommended as the standard treatment for early-stage cervical cancer（FIGO stage ⅠB1 or ⅡA1 disease）.Minimally invasive surgery（MIS）has been adopted as an optimal treatment for early cervical cancer since 20th century for its advantages in perioperative outcomes and comparable oncological outcomes.Not until 2018 were two articles from MD Anderson Center published in The New England Journal of Medicine reversed the situation.Their results suggested that patients who underwent MIS for RH had higher recurrence rates and worse overall survival compared to patients that underwent open surgery.Since then，controversy about open surgery and MIS has continued.This article will discuss the current controversy and stragegies of laparoscopic surgery for cervical cancer.

Key words: cervical tumor, laparoscopic surgery, mortality rate, recurrence rate

摘要：

广泛性全子宫切除加盆腔淋巴结清扫可以作为早期宫颈癌（FIGOⅠB1～ⅡA1期）标准的治疗方式。由于微创手术在围手术期结局上优于开腹手术，而肿瘤结局无劣势，微创手术在20世纪后逐渐成为治疗早期宫颈癌的选择之一。直到新英格兰医学杂志在2018年发表了来自MD安德森中心的两项研究，提示微创手术相比于开腹手术有更高的复发率和更低的总生存率。此后，关于开腹手术和腹腔镜手术的争议不断。文章将分析目前宫颈癌腹腔镜手术的争议及应对策略。

关键词: 子宫颈肿瘤, 腹腔镜手术, 死亡率, 复发率