[Radical trachelectomy: an operation that preserves the fertility of young women with invasive cervical cancer].
Surgery for epithelial cancer is more and more getting a tailored surgery: wide local excision of the primary and focused retrieval of the regional lymph nodes. As far as cancer of the cervix is concerned such a strategy is avoidable: laparosopic pelvic lymphadenectomy and radical trachelectomy. This operation is a variant of the classical Schauta operation. The difference is the uterus is divided underneath the isthmus which is, at the end of the operation, stitched to the vagina. A personal series of 82 cases gathered between 1987 and 2000 is reported. The number of recurrences is three. All of them have been registered in the population of 21 patients who were affected by a cancer two cm or more large. Among the 38 patients who wanted and were able to become pregnant 29 succeeded. Among the 47 registered pregnancies 35 went on after the 14th week and 27 finished with the birth of a living baby.
Dargent
D
D
Hôpital Edouard Herriot, Place d'Arsonval, 69437 Lyon.
D000328:Adult; D000367:Age Factors; D000714:Anastomosis, Surgical / Q000379:methods; D002277:Carcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000517:prevention & control*; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D009364:Neoplasm Recurrence, Local; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014599:Uterus / Q000601:surgery; D014621:Vagina / Q000601:surgery