Advances in Clinical Surgery for Gynecological Cancers

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Methods and Technologies Development".

Deadline for manuscript submissions: 25 September 2025 | Viewed by 432

Special Issue Editor


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Guest Editor
Division of Gynaecological Oncology, Department of Gynaecology, Poznan University of Medical Sciences, 61-701 Poznan, Poland
Interests: ovarian cancer; endometrial cancer; cervical cancer; gynecological surgery

Special Issue Information

Dear Colleagues,

The surgical management of gynecological malignancies is a pressing issue. Recent progress in managing gynecological tumors has mainly been based on targeted therapies, allowing adequate surgical treatment for many patients and significantly increasing survival rates. Every year, many important studies are published, influencing the quality of care for patients with gynecological cancers.

Currently, researchers are focusing on several essential issues. One is the personalization of the resection range according to the molecular and clinical characteristics of the disease. Another key issue is the identification of frailty and comorbidity among cancer patients, to improve personalized perioperative care. In addition, further studies are needed on the organization of health care for patients undergoing extensive surgery, such as cytoreduction and pelvic exenteration.

This Special Issue will focus on all issues related to gynecological surgery. It will also showcase the latest advances in developing effective strategies for preventing postoperative complications, improving patients' postoperative recovery and quality of life and the outcomes of gynecological surgery.   

For this Special Issue, we welcome the submission of original research articles and reviews. We look forward to receiving your contributions.

Dr. Sebastian Szubert
Guest Editor

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Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Cancers is an international peer-reviewed open access semimonthly journal published by MDPI.

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Keywords

  • ovarian cancer
  • endometrial cancer
  • cervical cancer
  • gynecological surgery
  • gynecological oncology
  • reconstructive surgery
  • pelvic exenteration
  • supportive cancer care

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Published Papers (1 paper)

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30 pages, 2591 KiB  
Systematic Review
Surgical Techniques for Radical Trachelectomy
by Sebastian Szubert, Magdalena Nadolna, Paweł Wawrzynowicz, Agnieszka Horała, Julia Kołodziejczyk, Łukasz Koberling, Paweł Caputa, Mikołaj Piotr Zaborowski and Ewa Nowak-Markwitz
Cancers 2025, 17(6), 985; https://doi.org/10.3390/cancers17060985 - 14 Mar 2025
Viewed by 342
Abstract
Background/Objectives: The primary aim of this systematic review was to evaluate fertility outcomes and the oncological safety of different surgical techniques of radical trachelectomy (RT). Methods: The systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews [...] Read more.
Background/Objectives: The primary aim of this systematic review was to evaluate fertility outcomes and the oncological safety of different surgical techniques of radical trachelectomy (RT). Methods: The systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A systematic literature search on PubMed, Embase, and Google Scholar was performed between 1 November 2023 and 31 March 2024 with no limits for the time of publication. Results: In total, 56 studies met the inclusion criteria: 22 for abdominal RT (1712 patients), 14 for endoscopic RT (445 patients), and 22 for vaginal RT (1158 patients). Data regarding certain steps of the procedure (uterine artery preservation, autonomous nerve-sparing, abdominal cerclage, types of sutures used for the cerclage, uterine dilatation during cerclage placement, prolongation of uterine catheterization, type of uterovaginal anastomosis, antibiotic prophylaxis, and suppression of menstruation) were extracted and analyzed with regard to the obstetrical and oncological outcomes. Endoscopic RT was associated with a significantly higher pregnancy rate and a lower rate of preterm deliveries. Uterine artery preservation was associated with a higher live birth rate. Nerve-sparing RT resulted in a higher pregnancy rate, but no differences in the attempt for pregnancy and live birth rates were observed. Conclusions: Taking into account the obstetrical outcomes, it seems that the preferred option for radical RT is an endoscopic procedure with preservation of the uterine artery and the pelvic autonomic nerves. However, the safety of the endoscopic approach should be evaluated in prospective trials. Full article
(This article belongs to the Special Issue Advances in Clinical Surgery for Gynecological Cancers)
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