کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3907853 | 1251085 | 2011 | 9 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Trachelectomy for cancer of the cervix: Dargent’s operation. Vaginal hysterectomy for early cancer of the cervix stage IA1 and CIN III Trachelectomy for cancer of the cervix: Dargent’s operation. Vaginal hysterectomy for early cancer of the cervix stage IA1 and CIN III](/preview/png/3907853.png)
Radical vaginal trachelectomy is today an established method of treating selected women with cervical cancer stage IA2 and IB1, with tumour size less than 2 cm without precluding future childbearing. This technique has been used for more than 20 years with reassuring oncological safety and excellent obstetrical outcomes. The procedure is a combination of laparoscopy for pelvic lymphadenectomy and challenging classic vaginal surgery to resect the tumour, part of the parametrium and upper vagina. Complications are in the range of 8–13%. Recurrence and death occur in 5 and 3%, respectively, as good as figures for radical hysterectomy. Rate of second trimester miscarriage is 8–10%, and that of preterm delivery 20–30%. More than 900 cases with 200 children are now reported in the published literature.
Journal: Best Practice & Research Clinical Obstetrics & Gynaecology - Volume 25, Issue 2, April 2011, Pages 217–225