title: Laparoscopic radical trachelectomy for stage Ib1 cervical cancer.
abstract: Radical trachelectomy by vaginal approach is an alternative for young women with early-stage cervical cancer. We modified this procedure to treat two patients with stage Ib1 cervical cancer. With 100% laparoscopic pelvic lymphadenectomy and 80% laparoscopic approach, the technique is laparoscopic radical trachelectomy (LRT). Under direct enhanced vision of the laparoscope, it is easy to identify and preserve ascending branches of the uterine arteries and to divide ligaments surrounding the cervix and vagina. Vaginal procedures require only colpotomy, amputation of cervix, dividing caudal paracolpium, and corpus-vagina anastomosis. Short-term follow-up results of our first patients are satisfactory. Thus, LRT could be a useful alternative for women with early cervical cancer who want to preserve fertility.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital Linkou Medical Center, 5, Fu-Shin Street, Kueishan, Taoyuan 333, Taiwan.
authors.forename: Chyi-Long
authors.initials: CL
authors.lastname: Lee
authors.forename: Kuan-Gen
authors.initials: KG
authors.lastname: Huang
authors.forename: Chin-Jung
authors.initials: CJ
authors.lastname: Wang
authors.forename: Chih-Feng
authors.initials: CF
authors.lastname: Yen
authors.forename: Chyong-Huey
authors.initials: CH
authors.lastname: Lai
mesh_terms: D000328:Adult; D000367:Age Factors; D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000601:surgery*; D002584:Cervix Uteri / Q000601:surgery*; D003127:Colposcopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D010535:Laparoscopy / Q000379:methods*; D009367:Neoplasm Staging; D018570:Risk Assessment; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery*