Laparoscopic radical trachelectomy for preservation of fertility in early cervical cancer. A case report

Radical hysterectomy is the standard treatment for patients with early-stage cervical cancer. However, for women who wish to preserve fertility, radical trachelectomy is a safe and viable option. To present the first case of laparoscopic radical trachelectomy performed in the National Cancer Institu...

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Bibliographic Details
Published in:Cirugia y cirujanos 2016-07, Vol.84 (4), p.329
Main Authors: Isla Ortiz, David, Montalvo-Esquivel, Gonzalo, Chanona-Vilchis, José Gregorio, Herrera Gómez, Ángel, Ñamendys Silva, Silvio Antonio, Pareja Franco, Luis René
Format: Article
Language:Spanish
Subjects:
Adult
Blood Loss, Surgical
Carcinoma, Squamous Cell - diagnostic imaging
Carcinoma, Squamous Cell - surgery
Cervix Uteri - surgery
Female
Fertility Preservation - methods
Humans
Laparoscopy - methods
Lymph Node Excision
Magnetic Resonance Imaging
Treatment Outcome
Uterine Cervical Neoplasms - diagnostic imaging
Uterine Cervical Neoplasms - surgery
Vagina - surgery
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Summary:Radical hysterectomy is the standard treatment for patients with early-stage cervical cancer. However, for women who wish to preserve fertility, radical trachelectomy is a safe and viable option. To present the first case of laparoscopic radical trachelectomy performed in the National Cancer Institute, and published in Mexico. Patient, 34 years old, gravid 1, caesarean 1, stage IB1 cervical cancer, squamous, wishing to preserve fertility. She underwent a laparoscopic radical trachelectomy and bilateral dissection of the pelvic lymph nodes. Operation time was 330minutes, and the estimated blood loss was 100ml. There were no intraoperative or postoperative complications. The final pathology reported a tumour of 15mm with infiltration of 7mm, surgical margins without injury, and pelvic nodes without tumour. After a 12 month follow-up, the patient is having regular periods, but has not yet tried to get pregnant. No evidence of recurrence. Laparoscopic radical trachelectomy and bilateral pelvic lymphadenectomy is a safe alternative in young patients who wish to preserve fertility with early stage cervical cancer.
ISSN:0009-7411
DOI:10.1016/j.circir.2015.04.035