The LACC trial results showed a significant difference on oncologic outcomes favoring laparotomy vs laparoscopy for radical hysterectomy in early stage cervical cancer.
I just wanted to hear your opinion on it? Do you agree? Do you think therr is some biases ? Will you change your habitudes?
The same is found on breast cancer now. You do not have to remove the whole breast only a small piece of the "cake" now and the prognosis is as good for survival.
I think that this is not our choice, rather the patients'. Our obligation is just to inform the patients. Actually, I am very disappointed for the results of these two studies, and I still think that there may be methodological issues. Prof. Schneider and Prof. Kohler in Berlin, Germany had different approaches (vaginal combined with laparoscopy). They were first closing the vaginal cuff from below, then they were performing advanced laparoscopic radical surgery.
I totally agree the patient should be clearly informed and allowed to choose.
I added an interesting critique of the lacc trial
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