Laparoscopic radical trachelectomy: The choice for conservative surgery in early cervical cancer

Abstract

Cervical cancer is the third most common female cancer worldwide. Radical hysterectomy with lymph node dissection has become a standard method for treating early stage cervical cancer. Laparoscopic radical hysterectomy for early stage cervical cancer can provide a good survival outcome, fewer complications and a faster recovery time than open surgery. For patients who wish to retain their fertility, fertility-sparing surgery is considered. Laparoscopic radical trachelectomy is a good example of such surgery. Several series have shown that it is feasible, safe and has an acceptable overall survival rate compared with radical hysterectomy. It also provides the benefits of minimally-invasive surgery. It is a good choice for fertility-sparing surgery in cervical cancer. There are currently several methods of approach to radical trachelectomy, with different fertility and oncological results.

Keywords

• Cervical cancer
• Fertility-sparing surgery
• Laparoscopic trachelectomy