Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3907853 | Best Practice & Research Clinical Obstetrics & Gynaecology | 2011 | 9 Pages |
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.