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.
Original language | English |
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Pages (from-to) | 1068-1074 |
Journal | International Journal of Gynecological Cancer |
Volume | 31 |
DOIs | |
Publication status | Published - 2021 |
Externally published | Yes |
Subject classification (UKÄ)
- Obstetrics, Gynecology and Reproductive Medicine
- Cancer and Oncology
- Surgery
Free keywords
- cervix uteri
- gynecologic surgical procedures
- operative
- surgical procedures
- uterine cervical neoplasms