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Indian Journal of Surgery

, Volume 78, Issue 4, pp 265–270 | Cite as

Radical Vaginal Trachelectomy with Laparoscopic Pelvic Lymphadenectomy for Fertility Preservation in Young Women with Early-Stage Cervical Cancer

  • Elvira BrătilăEmail author
  • C. P. Brătilă
  • C. B. Coroleuca
Original Article

Abstract

The primary objective of this study was to describe our experience with the conservative treatment of early-stage cervical cancer (stages IA1, IA2, and IB1) with radical vaginal trachelectomy (RVT) and laparoscopic pelvic lymphadenectomy. This retrospective observational case series included 36 patients with early cervical cancer. Radical trachelectomy and laparoscopic pelvic lymphadenectomy were performed as described by D. Dargent in 32 of these cases. Oncologic, reproductive, and obstetric outcomes were observed subsequently over a median period of 42 (24–96) weeks. A total of 32 RVTs were preformed with a mean operating time of 117 ± 22.8 (77–167) minutes and an average blood loss of 486 mL (150–800 mL). All obtained resection margins were negative for cancer. Lymphovascular space invasion was noted in 11 (30.55 %) of the cases. No recurrences occurred during the study period. Seven (17.8 %) patients were able to become pregnant postoperatively, five of whom delivered healthy infants near term. Radical vaginal trachelectomy with laparoscopic pelvic lymphadenectomy appears to be a safe therapeutic option for fertility preservation in young women with early cervical cancer.

Keywords

Cervical cancer Radical vaginal trachelectomy Laparoscopic pelvic lymphadenectomy Pregnancy 

Notes

Conflict of Interest

The authors declare that they have no competing interests

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Copyright information

© Association of Surgeons of India 2015

Authors and Affiliations

  • Elvira Brătilă
    • 1
    • 2
    Email author
  • C. P. Brătilă
    • 1
    • 3
  • C. B. Coroleuca
    • 2
  1. 1.Department of Obstetrics and Gynecology“Carol Davila” University of Medicine and PharmacyBucharestRomania
  2. 2.Department of Obstetrics and GynecologyClinical Emergency Hospital “Sf. Pantelimon”BucharestRomania
  3. 3.Minimally Invasive Surgery Hospital Euroclinic “Regina Maria”BucharestRomania

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