Matsuo K, Mandelbaum RS, Klar M, et al. - Researchers undertook this population-based retrospective observational study to determine the impact of the first level I evidence (Laparoscopic Approach to Cervical Cancer [LACC] trial) on minimally invasive hysterectomy employment as well as perioperative complications for cervical cancer surgery. The National Inpatient Sample was used. Participants were females suffering from cervical cancer who had hysterectomy and lymphadenectomy from 10/2015–12/2018. They compared 5,120 females in the pre-LACC period vs 1,645 females in the post-LACC period. Multivariable analysis revealed 63% less probability to receive minimally invasive hysterectomy but 23% more chance to develop a perioperative complication among women in the post-LACC period vs those in the pre-LACC period. Post-LACC trial results, a swift shift from minimally invasive to open hysterectomy for cervical cancer was seen among U.S. surgeons. An increase in perioperative complications as well as longer hospital admissions were observed in relation to reducing utilization of minimally invasive surgery.