Pulling the uterus directly instead of relying on the uterine manipulator: a better surgical technique choice for laparoscopic radical resection of cervical cancer.

Cervical cancer is one of the most common malignant tumors among women. The appropriate treatment plan is determined based on factors such as the clinical stage, age of the patient, fertility requirements, general condition and medical expertise. Patients are typically treated with surgery or radiotherapy, along with chemotherapy if necessary. Surgical treatment is typically reserved for patients with early-stage cervical cancer (IA-IIA). In recent years, advancements in screening technology and increased individuals' awareness of physical examinations have led to a higher rate of early diagnosis for cervical cancer. Thus, it is of vital importance for patients with cervical cancer to undergo surgery treatment, as most patients are in the early stage of the disease when they are first diagnosed and have good prognosis. With the advancement of the minimally invasive concept and technology, laparoscopy has emerged as a surgical treatment method for cervical cancer. It offers several advantages such as reducing intraoperative blood loss, decreasing the rate of wound infection, shortening hospital stay, and not increasing postoperative complications. On the other hand, studies have indicated that laparoscopic radical hysterectomy is associated with lower survival rates and higher recurrence rates compared to conventional open surgery. The potential reasons for the unfavorable prognosis of laparoscopic surgery may be attributed to the use of uterine manipulator, CO