Journal of the European Society for Gynaecological Endoscopy


The role of minimally invasive radical hysterectomy for cervical cancer: ESGE-SERGS position document and joint-statement *

Working Group of ESGE and SERGS, T. Ind 1,2, L. Mereu 3, R. Verheijen 4, R. Rovira Negre 5, V. Zanagnolo 6, H. Nassir 7, R. Kimmig 8, G. Scambia 9,10

1 Department of Gynaecological Oncology Royal Marsden Hospital London, United Kingdom;
2 St George’s University of London, United Kingdom;
3 Department of Obstetrics and Gynaecological S. Chiara Hospital Trento, Italy;
4 Department of Gynaecological Oncology, University Medical Center Utrecht, Netherlands;
5 Department of Obstetrics and Gynecology Hospital de la Santa Creu i Sant Pau Barcelona, Spain;
6 Department of Gynecologic Oncology Istituto Europeo Oncologico Milano, Italy;
7 Department of Obstetrics and Gynecology Poissy University Hospital Poissy, France;
8 Department of Obstetrics and Gynecology University Hospital Duisburg Essen, Germany;
9 Dipartimento per la Tutela della Salute della Donna e della Vita Nascente, Fondazione Policlinico Gemelli IRCCS;
10 Gynaecologic Oncology, Catholic University of Sacred Heart Rome, Italy.

* This document has not been peer-reviewed by Facts, Views and Vision but has been reviewed and approved by the Executive Boards of the European Society for Gynaecological Endoscopy (ESGE) and Society of European Robotic Gynaecological Surgery (SERGS).


radical hysterectomy, minimally invasive surgery, cervical cancer, statement

Published online: May 07 2020


Over the last two decades, minimal access techniques have gained widespread acceptance as an approach to radical hysterectomy for cervical cancer.

Two recent studies, the randomised study by Ramirez et al. (2018) and the epidemiologic study by Melamed et al. (2018) found that minimally invasive surgery radical hysterectomy for cervical cancer was associated with shorter overall survival than open surgery.

In this document we assess the importance of these two new studies and what their additional contribution is towards existing studies into the surgical approach to cervical cancer. Furthermore, we provide a consensus statement of the European Society  Gynaecological Endoscopy (ESGE) and the Society of European Robotic Gynaecological Surgery (SERGS) as to the position of minimal access techniques (both standard and robotic) in light of this new evidence.