Fertility preservation in the treatment of early stage cervical cancer

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Fertility preservation in the treatment of early stage cervical cancer. / Persson, Jan.

In: Salud i Ciencia, Vol. 18, No. 6, 2011, p. 530-534.

Research output: Contribution to journalReview article

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TY - JOUR

T1 - Fertility preservation in the treatment of early stage cervical cancer

AU - Persson, Jan

PY - 2011

Y1 - 2011

N2 - Radical trachelectomy in conjunction with pelvic lymphadenectomy is an established, safe method to preserve fertility in selected cases of early cervical cancer. The majority of publications encompass radical trachelectomy performed vaginally preceded by a laparoscopic pelvic lymphadenectomy (Dargent's operation). The invasiveness of an open abdominal trachelectomy and the complexity of a traditional laparoscopic abdominal trachelectomy may explain this dual approach. Despite more than 20 years of videolaparoscopy only a few cases of the procedure with the latter approach are available. With the introduction of robot-assisted laparoscopy, complex and rare procedures may be included in the laparoscopic arsenal and the first cases of a robot-assisted total laparoscopic trachelectomy were published in 2008. In the present paper, our further experience of a total laparoscopic trachelectomy is presented together with a stepwise description of the robotic procedure and our view of the pros and cons compared to the traditional dual laparoscopic/vaginal approach. Available publications of robot-assisted trachelectomy are reviewed.

AB - Radical trachelectomy in conjunction with pelvic lymphadenectomy is an established, safe method to preserve fertility in selected cases of early cervical cancer. The majority of publications encompass radical trachelectomy performed vaginally preceded by a laparoscopic pelvic lymphadenectomy (Dargent's operation). The invasiveness of an open abdominal trachelectomy and the complexity of a traditional laparoscopic abdominal trachelectomy may explain this dual approach. Despite more than 20 years of videolaparoscopy only a few cases of the procedure with the latter approach are available. With the introduction of robot-assisted laparoscopy, complex and rare procedures may be included in the laparoscopic arsenal and the first cases of a robot-assisted total laparoscopic trachelectomy were published in 2008. In the present paper, our further experience of a total laparoscopic trachelectomy is presented together with a stepwise description of the robotic procedure and our view of the pros and cons compared to the traditional dual laparoscopic/vaginal approach. Available publications of robot-assisted trachelectomy are reviewed.

KW - cervical cancer

KW - fertility

KW - trachelectomy

KW - robot

M3 - Översiktsartikel

VL - 18

SP - 530

EP - 534

JO - Salud (i) Ciencia

JF - Salud (i) Ciencia

SN - 1667-8990

IS - 6

ER -