Open AccessLaparoscopic radical trachelectomy for preservation of fertility in early cervical cancer. A case report
Author(s) -
David Isla Ortiz,
Gonzalo MontalvoEsquivel,
José Chaa-Vilchis,
Ángel Herrera Gómez,
Silvio A. ÑamendysSilva,
Lila Louise Moreira Martins Franco
Publication year - 2016
Publication title -
cirugía y cirujanos
Language(s) - English
Resource type - Journals
ISSN - 2444-0507
DOI - 10.1016/j.circen.2016.06.011
Subject(s) - trachelectomy , medicine , cervical cancer , radical hysterectomy , stage (stratigraphy) , radical surgery , fertility , fertility preservation , surgery , gynecology , cancer , population , paleontology , environmental health , biology
BackgroundRadical hysterectomy is the standard treatment for patients with early-stage cervical cancer. However, for women who wish to preserve fertility, radical trachelectomy is a safe and viable option.ObjectiveTo present the first case of laparoscopic radical trachelectomy performed in the National Cancer Institute, and published in Mexico.Clinical casePatient, 34 years old, gravid 1, caesarean 1, stage IB1 cervical cancer, squamous, wishing to preserve fertility. She underwent a laparoscopic radical trachelectomy and bilateral dissection of the pelvic lymph nodes. Operation time was 330min, and the estimated blood loss was 100ml. There were no intraoperative or postoperative complications. The final pathology reported a tumour of 15mm with infiltration of 7mm, surgical margins without injury, and pelvic nodes without tumour. After a 12 month follow-up, the patient is having regular periods, but has not yet tried to get pregnant. No evidence of recurrence.ConclusionsLaparoscopic radical trachelectomy and bilateral pelvic lymphadenectomy is a safe alternative in young patients who wish to preserve fertility with early stage cervical cancer