Single-Port-Access Laparoscopic Radical Trachelectomy in Early Stage Cervical Cancer with Successful Pregnancy Outcome: A Case Report

Abstract

A 31-year-old woman, gravida 0, was found to have atypical glandular cells on her cytology cervical smear. A colposcopy-directed biopsy revealed adenocarcinoma. Without a definite endocervical mass extension on a magnetic resonance imaging, a single-port-access laparoscopic radical trachelectomy (SPA-RT) was performed. The final pathology was adenocarcinoma with a free section margin. She resumed her normal menstrual cycle a month after the operation and a few months later became naturally pregnant, delivering a viable infant at 34 weeks of gestation by cesarean section. At the time of this writing, 64 months after the SPA-RT, she is still free from recurrent disease.

Keywords

• case report
• outcome
• radical trachelectomy
• single-port surgery