Abstract
Objective: To analyze the outcomes of different types of surgical approaches – minimally invasive surgery versus laparotomy – in women with cervical uterine cancer (CUC), comparing new and old studies (before and after 2018) and analyzing recurrence rates, survival and recurrent complications in each technique. Bibliographic review: This is a narrative review of the outcomes of different surgical techniques in the treatment of cervical cancer. It is known that CUC is caused by persistent infection by some types of Human Papillomavirus (HPV). New studies brought information contrary to those previously recommended, concluding that, compared to laparotomy, the survival rate of minimally invasive surgery was lower – generating new debates for oncological surgery. However, the choice of minimally invasive surgery for radical hysterectomy continues to gain popularity over laparotomy. The main reason for this is the operational and perioperative benefits of the laparoscopic approach, in addition to the lower incidence of postoperative infectious and non-infectious complications. Final considerations: It is concluded that the techniques analyzed are safe and have well-cleared indications, but a greater number of detailed studies are still needed to reach a final consensus on greater effectiveness between one or the other approach.