Comparing Simple vs. Radical Hysterectomy for Early-Stage Cervical Cancer: A Systematic Review

Abstract

Background: Cervical cancer is a global health challenge, affecting women aged 40-65. Early-stage screening has increased survival rates. European guidelines recommend simple hysterectomy for stage IA2 cervical cancer, while radical hysterectomy is advised for stages IB1-IB2-IIA. Methods: In adherence to PRISMA 2020 guidelines, this systematic review focused on full-text English-language articles published between 2014 and 2024. Result: The review process evaluated over 800 publications from reputable sources, including ScienceDirect, SagePub, and PubMed. After an initial screening, eight key publications were selected for in-depth review. Conclusion: The review compares simple hysterectomy and radical hysterectomy for treating FIGO stage IA2 and IB1 cervical cancer. Although RH is considered overtreatment due to low tumor involvement and morbidity, less invasive surgery offers better survival outcomes and is oncologically safe for small, low-risk tumors.