Concept of surgical treatment for cervical cancer

  The incidence of cervical cancer is getting younger and younger nowadays, then once diagnosed with cervical cancer stage IIA or below, all can be operated directly. There are three types of surgery: 1. Traditional open extensive hysterectomy plus pelvic lymph node dissection: Disadvantages: large abdominal incision, affecting aesthetics, large intestinal harassment and slow intestinal exhaustion. Advantages: unarmed operation is safe, lymphatic clearance is complete, ureteral tunnel can be fully opened, thus parametrial trisection can be easily done. Therefore, it can achieve the thoroughness and safety of radical cervical cancer surgery.  2.Laparoscopic radical cervical cancer surgery: Disadvantages: no touching, so the thoroughness of lymphatic clearance is slightly poor, the damage rate of ureter and blood vessels is increased, the surgical thoroughness of parametrial trigone is not enough, and the operation time is relatively long. Advantages: small abdominal incision, aesthetic appearance, small intestinal harassment, early exhaustion, small intestinal adhesions, and possibly relatively less bleeding without side injuries.  3, laparoscopic lymphatic dissection plus extensive hysterectomy in the negative: the same as the second method. This method combines some advantages and disadvantages of the first and second methods. However, the thoroughness of transvaginal resection of the parametrial trigone also remains to be investigated. I personally believe that the best treatment for cervical cancer is still the traditional open surgery. Not only for cervical cancer, but also for endometrial cancer and ovarian cancer, open surgery is suitable. Because once a gynecological malignancy has occurred, the thoroughness and safety of the surgery should be the first priority for the patient’s family and our doctors to consider.