宫颈癌是严重危害女性健康的恶性肿瘤之一，手术治疗方式主要为宫颈癌根治术，手术入路包括经腹、 经阴道等，手术方法主要有开腹手术、腹腔镜手术及机器人辅助腹腔镜手术等。它们历经时间考验显示出各自的优 势，给临床妇科肿瘤医生更多的选择空间，特别是其中的微创手术方式更加有助于患者的快速康复。然而，2018 年 LACC（Laparoscopic Approach to Cervical Cancer）研究横空出世，其结论认为早期宫颈癌患者经腹手术预后优于腹腔 镜手术，带来巨大的争议与讨论。本文主要回顾各类型宫颈癌根治术的发展历史，并对后 LACC 时代早期宫颈癌患 者手术治疗方式的选择进行讨论，为临床医生提供更多借鉴依据。

Cervical cancer is one of the malignant tumors that seriously endanger women’s health. The main surgical treatment method is radical hysterectomy, including open surgery, laparoscopic and robot-assisted laparoscopic surgery, of which transabdominal and transvaginal approaches are the main surgical approaches. The advantages of the above methods were all approved in the past, which provides gynecological oncologists more options. Especially the minimally invasive surgery, which contributes more to the rapid recovery of patients. However, the LACC study in 2018 indicated that the prognosis of early cervical cancer patients receiving laparotomy was better than laparoscopic surgery, which brought great controversy. The development and history of various types of radical hysterectomy were reviewed in this paper, and surgical treatment approaches for patients with early cervical cancer in the post-LACC era were discussed, hoping to provide more references for gynecological clinicians.

收稿日期：2022-04-06  录用日期：2022-12-05 

Received Date: 2022-04-06  Accepted Date: 2022-12-05 

基金项目：军委后勤计生专项课题（19JSZ15）

Foundation Item: Chinese PLA Military Family Planning Project(19JSZ15) 

通讯作者：孟元光，Email：meng6512@vip.sina.com 

Corresponding Author: MENG Yuanguang, Email: meng6512@vip.sina.com 

引用格式：张妮娜 ，杨雯，徐佳，等 . 后 LACC 时代早期宫颈癌患者的手术治疗 [J]. 机器人外科学杂志（中英文），2023，4（5）： 448-455. 

Citation: ZHANG N N, YANG W, XU J, et al. Surgical treatment on patients with early cervical cancer in the post-LACC era [J]. Chinese Journal of Robotic Surgery, 2023, 4(5): 448-455.

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