TOPICAL ISSUES IN THE SURGICAL TREATMENT OF INVASIVE CERVICAL CANCER

One of the leading places in the structure of malignant diseases in Russia, as well as throughout the world, is occupied by cervical cancer (CC). The age of the patient, the stage of the tumor process before the start of treatment, the localization of the malignant process, the histotype of the tumor, previous therapy, all this must be taken into account when choosing a method of treating cervical cancer. Extended hysterectomy according to Wertheim-Meigs is the standard treatment for invasive cervical cancer stages IB-IIA. This surgical intervention is currently the most commonly used worldwide. Available oncological results comparable to the results of using chemoradiotherapy, which is an alternative to surgical treatment of early invasive cervical cancer. Since the majority of patients diagnosed with cervical cancer are of fertile age, sometimes with unrealized reproductive function, and radiation therapy will inevitably lead to irreversible radiation castration, surgical treatment is preferable, which, in the absence of risk factors for recurrence and metastasis, according to a pathomorphological study, will avoid radiation and chemotherapy in adjuvant treatment, and thereby reduce the risks of postradiation complications and depletion of ovarian tissue.Purpose: to review the literature on modern problems in the surgical treatment of cervical cancer.Material and methods. Russian and foreign literary sources devoted to various aspects in the surgical treatment of cervical cancer.Results and discussion. Extended extirpation of the uterus, or Wertheim's operation, is the standard treatment for invasive cervical cancer of IB-IIA stages. This method of surgical treatment is currently the most widespread and often used all over the world, but the question of the method of access to the abdominal cavity is still open.Conclusions. Today one of the priority areas in the development of oncogynecological diseases and surgical treatment of cervical cancer. Of undoubted interest is the problem of surgical treatment of cervical cancer in oncogynecology, at the indicated momentit is impossible to fully achieve minimally invasive intervention in the use of laparotomy from a possible surgical treatment.

cervical cancer, minimally invasive interventions, uterine manipulator, radiation-induced vaginal stenosis

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