Less Is More: Minimally Invasive and Quality Surgical Management of Gynecologic Cancer

Evelyn Cantillo; Jenna B Emerson; Cara Mathews

doi:10.1016/j.ogc.2018.09.004

Less Is More: Minimally Invasive and Quality Surgical Management of Gynecologic Cancer

Obstet Gynecol Clin North Am. 2019 Mar;46(1):55-66. doi: 10.1016/j.ogc.2018.09.004.

Authors

Evelyn Cantillo¹, Jenna B Emerson², Cara Mathews²

Affiliations

¹ Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Vermont College of Medicine, 111 Colchester Avenue, Smith 408, Burlington, VT 05404, USA. Electronic address: evelyn.cantillo@uvmhealth.org.
² Program in Women' Oncology, Women and Infants Hospital, 101 Dudley Street, Providence, RI 02905, USA.

PMID: 30683266
DOI: 10.1016/j.ogc.2018.09.004

Abstract

Surgery is a cornerstone of gynecologic oncology. Minimally invasive techniques have been adopted rapidly, in lieu of open approaches, in cervical and endometrial cancer staging. In addition, nodal assessment has undergone significant changes with the introduction of SLN biopsies. The movement toward less is more has also been seen with perioperative and postoperative care and the advent of ERAS protocols, which attempt to maintain normal physiology with the goal of improving functional recovery. It is imperative that new technology be critically evaluated to ensure that oncologic outcomes are not compromised.

Keywords: ERAS; Gynecologic oncology; Minimally invasive surgery; Sentinel lymph nodes.

Publication types

Review

MeSH terms

Female
Genital Neoplasms, Female / pathology
Genital Neoplasms, Female / surgery*
Gynecologic Surgical Procedures*
Humans
Lymphatic Metastasis / pathology*
Minimally Invasive Surgical Procedures*
Patient Selection
Perioperative Care / standards*
Quality of Health Care
Sentinel Lymph Node / pathology*
Sentinel Lymph Node Biopsy