Academic Article,October 2025

Laparoscopic Surgery in Gynecologic Cancer
Smaller scars, less pain, faster recovery, better quality of life

Asst. Prof. Nuttavut Kantathavorn, MD
Princess Srisavangavadhana Faculty of Medicine, Chulabhorn Hospital,
Chulabhorn Royal Academy, Bangkok, Thailand

Gynecologic cancers: a silent threat
           Gynecologic cancers—such as cervical cancer, endometrial cancer, and ovarian cancer—remain a major health burden for women in Thailand and worldwide. Often silent in their early stages, these cancers can threaten both survival and quality of life.
           With advances in modern medicine, however, laparoscopic surgery has emerged as a game-changing treatment. This technique allows women to undergo surgery with less trauma, reduced pain, and quicker recovery—without compromising treatment outcomes.

What is laparoscopic surgery?
           Laparoscopic, or “keyhole,” surgery uses a tiny camera inserted through small incisions in the abdomen. The high-definition camera projects magnified images onto a screen, allowing surgeons to perform delicate procedures with precision. Unlike traditional open surgery, which requires a large incision, laparoscopic surgery minimizes tissue damage and scarring.

Benefits for patients

• Smaller scars, less pain – reduced discomfort and better cosmetic results.

• Faster recovery – most patients return home and daily activities earlier.

• Lower blood loss, fewer infections – improved safety during and after surgery.

• Comparable oncologic outcomes – when performed by trained gynecologic oncologists, survival results are equivalent to traditional open surgery.

Which cancers are suitable?

• Endometrial cancer: The most suitable for laparoscopy, as the uterus, ovaries, and lymph nodes can be removed according to international standards.

• Early-stage ovarian cancer: Laparoscopy can be used to diagnose and stage the disease effectively.

• Early-stage cervical cancer: Requires careful patient selection. Some centers still perform laparoscopic radical hysterectomy with special precautions to reduce cancer cell spread.

The next step: robotic-assisted surgery
          Beyond standard laparoscopy, robotic surgery is now available in leading hospitals in Thailand. Using robotic arms controlled by surgeons, this approach provides even greater precision, dexterity, and visualization, especially in difficult-to-reach areas. While more costly, robotic surgery is becoming an increasingly accessible option for patients seeking advanced minimally invasive care.

Early detection still matters most
           Even with cutting-edge technology, early diagnosis remains the key to beating gynecologic cancers. Regular health check-ups and cancer screenings save lives.
Recommended screenings include:

• Pap smear or HPV testing for cervical cancer

• Pelvic examination and ultrasound for uterine or ovarian abnormalities
  
  Detecting cancer early not only improves survival chances but also makes minimally invasive treatments possible, leading to faster recovery and better quality of life.

Conclusion
          Laparoscopic surgery in gynecologic oncology represents a new hope for women battling cancer. By reducing pain, minimizing scars, and accelerating recovery, this technique ensures not only effective cancer treatment but also a better quality of life after surgery.

“Detect early, treat promptly, recover quickly”
This is the message every woman should remember,
along with the importance of regular annual health check-ups.

References

• NCCN Clinical Practice Guidelines: Cervical, Endometrial, Ovarian Cancer (2025)

• ESGO–ESTRO–ESP Guidelines for Endometrial Carcinoma (2025)