Perioperative Outcomes of Radical Trachelectomy in Early-Stage Cervical Cancer

Abstract

The study shows the feasibility of LRT, with the advantage of reduced blood loss. The LRT could be an alternative option for patients with large tumors. Further researches are needed to investigate the long-term outcomes.

Fertility results and pregnancy outcomes after conservative treatment of cervical cancer: a systematic review of the literature

“…Minimally Invasive RT (Pure or Robot-assisted Laparoscopic RT) Two techniques are available: pure laparoscopic (nine series) and robot-assisted laparoscopic surgery (two series, one of which reported the results of both techniques) (Table 4). The first pure laparoscopic procedure was reported in 2002 and the first robot-assisted laparoscopic procedure in 2008 (Table 4) (35,41,86,97,(100)(101)(102)(103)(104)(105)(106)(107)(108)(109). The fertility results of 314 cases were reported.…”

“…Because it is the first infertility factor, the infertility management most frequently used was cervical dilatation combined or not with IUI or IVF (or both), which yielded good results (9,41). Other specific IVF strategies were published as case reports, particularly in the case of persistent severe stenosis (120)(121)(122)(123).…”

Intestinal metastasis after total laparoscopic radical trachelectomy for stage IB1 cervical cancer: A case report

“…The National Comprehensive Cancer Network (NCCN) guidelines suggest that trachelectomy may be a reasonable fertility-sparing treatment option for stage IA and IB1 (tumor size ≤ 2 cm) cervical cancer (Reid et al, 2018). Nonetheless, some clinicians thought that LRT and ART, with more radical parametria resection, is oncologically safe for patients with stage IB1 and a large tumor size (2–4 cm) (Matsuo et al, 2018; Yoon et al, 2015). Moreover, recent study showed a gradual increase in the utilization of trachelectomy for patients with stage IB1 cervical cancer with tumors ≥ 2 cm in the United States (Matsuo et al, 2018).…”

Perioperative morbidity of radical trachelectomy with lymphadenectomy in early-stage cervical cancer: a French prospective multicentric cohort

“…To date, more than 2,700 cases have been published and more than 900 deliveries have been reported [6]. The feasibility of RT with vaginal, abdominal, laparoscopic and robotic technique have been proven with similar oncologic outcomes [7891011]. However, few prospective data are available on the postoperative morbidity after RT and their consequences on oncologic outcomes.…”