Day 4: Congress - Tuesday, November 12, 2019

Surgical Tutorial 5: Oncology: Laparoscopic Radical Hysterectomy: Where Do We Go from Here and What Are We Still LACC-ing?


Tuesday, November 12, 2019


3:05 pm – 4:05 pm


Rooms 220-222




Amanda Nickles-Fader


Martin A. Martino, Alexander Melamed, R. Wendel Naumann

Course Description

Cervical cancer is the fourth most common malignancy and the fourth leading cause of cancer-related death in women, with an estimated 570,000 new cases and 311,000 deaths anticipated worldwide in 2019. Surgery is the most important treatment modality impacting survival in early-stage disease. However, the recently conducted Laparoscopic Approach to Cervical Cancer (LACC) Trial and other contemporary studies have called into question the safety of performing minimally invasive surgery in this setting. Nevertheless, unanswered questions remain regarding the best surgical approaches to treat early-stage disease. This session provides an overview of the issues raised with the LACC trial and accompanying studies with a discussion of pertinent findings and surgical trial pitfalls. Further, we will discuss where we are headed in terms of future trial ideas and potentially promising experimental techniques that may mitigate the risk of local recurrence after radical hysterectomy. Technique videos that are applicable to both laparoscopic or open radical hysterectomy will be emphasized.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Discuss the data from the LACC trial and accompanying epidemiologic studies regarding the impact of minimally invasive radical hysterectomy on clinical and survival outcomes for women with early-stage cervical cancer; and 2) review promising experimental techniques to potentially decrease the local recurrence risk after radical hysterectomy with laparoscopic and open techniques.

Course Outline

3:05Welcome, Introduction with Audience Response A. Nickles-Fader
3:10Overview of the LACC Trial and Accompanying StudiesA. Melamed
3:25Pitfalls of Surgical Trials: What Is Clear and Not Clear from the LACC Trial and Other StudiesR.W. Naumann
3:40Promising Experimental Techniques That May Decrease Local Failure Rate After Radical HysterectomyM.A. Martino
3:55Question and AnswerAll Faculty