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Latest developments and techniques in gynaecological oncology surgery

Soleymani majd, Hooman; Ferrari, Federico; Gubbala, Kumar; Campanile, Riccardo Garruto; Tozzi, Roberto

Current Opinion in Obstetrics and Gynecology: August 2015 - Volume 27 - Issue 4 - p 291–296
doi: 10.1097/GCO.0000000000000186
MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Colin J. Davis
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Purpose of review To highlight the advances and the data published in the field of gynaecological oncology surgery in the last few years. The review includes not only newly introduced surgical techniques but also data that consolidate recent developments.

Recent findings Ultimate data on the use of laparoscopy in the treatment of gynaecologic malignancies have proven similar survival outcomes to the traditional surgical route and confirmed the benefits in terms of faster recovery and lower morbidity. Thanks to a faster learning curve, the use of robotic surgery has contributed to the increase in the number of surgeons who moved away from open surgery. A few pioneers are expanding the indications of laparoscopy to exenterative surgery and treatment of ovarian cancer.

Summary Laparoscopic surgery has become the gold standard treatment for patients with primary endometrial or cervical cancer. The advent of robotic surgery has reinforced the domain of endoscopic surgery.

Department of Gynaecologic Oncology, Oxford University Hospital, Oxford, UK

Correspondence to Roberto Tozzi, Department of Gynaecologic Oncology, Oxford Cancer Centre, Churchill Hospital, Oxford University Hospital, Old Road, Oxford OX3 7LJ, UK. Tel: +0044 1865235662; e-mail: roberto.tozzi@obs-gyn.ox.ac.uk

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