title: The surgical management of early-stage cervical cancer.
abstract: OBJECTIVE
  The main objective is to update the literature data in the last year which may support a surgical approach to early cervical cancer [ECC; Stage International Federation of Gynecology and Obstetrics (FIGO) IA-IB1-IIA1]. Radical hysterectomy remains the gold standard by most international guidelines because surgical treatment has hardly changed in recent decades, except for stage IA1.
  
  
  RESULTS
  Trends in clinical research in the past 12-18 months involve minimal invasive surgery (with laparoscopic surgery or robotic-assisted surgery), fertility preservation (in the initial stages and in the absence of bad prognostic factors), nerve-sparing and sentinel node techniques. Some institutions have published studies in specific groups such as older, obese or pregnant women.
  
  
  CONCLUSIONS
  There is a growing trend to practice less aggressive surgery in order to preserve fertility in young women and avoid an excess of treatment in some selected patients. Therefore, nerve-sparing techniques can help to improve the quality of life. More studies are needed to demonstrate oncologic results of the sentinel node technique. Laparoscopic and robotic-assisted surgery can substitute open surgical treatment.
authors.affiliation: Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Universitari Materno-infantil Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain. ssalicru@vhebron.net
authors.forename: Sabina R
authors.initials: SR
authors.lastname: Salicrú
authors.forename: Javier F V
authors.initials: JF
authors.lastname: de la Torre
authors.forename: Antonio
authors.initials: A
authors.lastname: Gil-Moreno
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007247:Infertility, Female / Q000517:prevention & control; D010535:Laparoscopy / Q000379:methods; D008197:Lymph Node Excision / Q000379:methods; D009765:Obesity / Q000150:complications; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery; D011788:Quality of Life; D012371:Robotics; D025321:Surgery, Computer-Assisted / Q000379:methods; D013514:Surgical Procedures, Operative / Q000379:methods*; D002583:Uterine Cervical Neoplasms / Q000601:surgery*