Surgical Management of Gynaecological Cancer

Dear Colleagues,

Gynaecological surgical oncology as a subspecialty has broadened significantly in the last few decades. The radicality of surgery has increased for some gynaecological cancers such as advanced ovarian cancers and training curriculums now include performing upper abdominal surgeries such as splenectomy and diaphragm peritoneal stripping. The route of surgery for cervical cancer has changed in view of the LACC trial where abdominal access was shown to be safer than robotic and laparoscopic access. However, minimal access surgery is still the recommended route for early stage endometrial cancers. The robotic surgery vs. laparoscopic surgery debate continues and advocates from each side promote their modality of treatment. The use of advanced technology such as the sentinel lymph node identification using the Gamma camera in vulval cancer and the Indocyanine Green (ICG) infrared fluorescence in endometrial and cervical cancer is claimed to reduce postoperative morbidity with no compromise in survivorship. Fertility-preserving surgery has become a safe and efficient option for many young gynaecological cancer patients. The aim of this Special Issue is to look into the different advances in surgical techniques in gynaecological oncology and to assess the novel surgical approaches in the last few years. Research and review articles evaluating different surgical approaches and modalities in all aspects of gynaecological oncology will be welcomed. In summary, the Special Issue is about surgical technicalities in gynaecological cancers in open and minimal access surgery. The Special Issue is about the rational, benefit, risk, and morbidity of the novel surgical approaches.   

Dr. Ahmad Sayasneh
Guest Editor

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