Radical trachelectomy. Issue 7 (11th March 2021)

• Record Type: Journal Article
• Authors: Segarra-Vidal, Blanca; Persson, Jan; Falconer, Henrik
• Is Part Of: International journal of gynecological cancer. Volume 31:Issue 7(2021)
• Page Start: 1068
• Page End: 1074
• Publication Date: 2021-03-11
• Subjects: uterine cervical neoplasms -- cervix uteri -- gynecologic surgical procedures -- surgical procedures -- operative; Generative organs, Female -- Cancer -- Periodicals; 616.99465
• DOI: 10.1136/ijgc-2020-001782
• Languages: English
• ISSNs: 1048-891X

Abstract

Abstract : Radical trachelectomy is the 'cornerstone' of fertility-sparing surgery in patients with early-stage cervical cancer wishing to preserve fertility. Growing evidence has demonstrated the oncologic safety and subsequent favorable pregnancy outcomes in well-selected cases. In the absence of prospective trials, the decision on the appropriate surgical approach (vaginal, open, or minimally invasive surgery) should be based on local resources and surgeons' preferences. Radical trachelectomy has the potential to preserve fertility in a large proportion of women with early-stage cervical cancer. However, prematurity and premature rupture of membranes are common obstetric complications after radical trachelectomy for cervical cancer. A multidisciplinary approach is crucial to optimize the balance between oncologic and obstetric outcomes. The purpose of this review is to provide an updated overview of the technical, oncologic, and obstetric aspects of radical trachelectomy.