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RESEARCH PRODUCT

Learning Laparoscopic Radical Hysterectomy: Are We Facing an Emerging Situation?

Graziella MoufawadAntonio Simone LaganàNassir HabibVito ChianteraAndrea GianniniFederico FerrariAmerigo VitaglianoLuigi Della CorteGiuseppe BifulcoZaki Sleiman

subject

Health Toxicology and MutagenesisRobotic radical hysterectomyPublic Health Environmental and Occupational HealthCervical cancerLACC trialLaparoscopic radical hysterectomylacc trial; abdominal radical hysterectomy; cervical cancer; laparoscopic radical hysterectomy; learning curve; robotic radical hysterectomyAbdominal radical hysterectomyLearning curveSettore MED/40 - Ginecologia E Ostetricia

description

Despite wide screening campaigns and early detection, cervical cancer remains the fourth most common cancer among women. Radical hysterectomy, whether by open, laparoscopic or by robotic-assisted techniques, is the mainstay treatment. However, for adequate surgical results and good oncological prognosis, a gynecological surgeon should be trained to perform those procedures. The learning curve of radical hysterectomy, especially by laparoscopy, is influenced by several factors. The LACC trial, the decrease in cervical cancer incidence and radical hysterectomy procedures have widely reduced the learning curve for surgeons. This article mainly discusses the learning curve of laparoscopic radical hysterectomy for cervical cancers, and how several factors are influencing it negatively, with the need to have medical authorities reset specific surgical training programs and allocate them to special oncological centers.

10.3390/ijerph20032053https://hdl.handle.net/10447/581310