This guidance replaces previous guidance on laparoscopic radical hysterectomy for early stage cervical cancer (interventional procedure guidance 24).
1.1 Current evidence on the efficacy and safety of laparoscopic radical hysterectomy for early stage cervical cancer is adequate to support the use of this procedure provided that normal arrangements are in place for clinical governance, consent and audit.
1.2 Patient selection should be carried out by a multidisciplinary gynaecological oncology team. The procedure should be carried out in units specialising in the treatment of gynaecological malignancies.
1.3 Advanced laparoscopic skills are required for this procedure and clinicians should undergo special training and mentorship. The Royal College of Obstetricians and Gynaecologists has developed an Advanced Training Skills Module. This needs to be supplemented by further training to achieve the skills required for laparoscopic radical hysterectomy for early stage cervical cancer.