Radical trachelectomy

Blanca Segarra-Vidal, Jan Persson, Henrik Falconer

Research output: Contribution to journalReview articlepeer-review

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 languageEnglish
Pages (from-to)1068-1074
JournalInternational Journal of Gynecological Cancer
Volume31
DOIs
Publication statusPublished - 2021
Externally publishedYes

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

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