[Laparoscopically assisted radical vaginal trachelectomy--first attempt].
OBJECTIVE
To introduce in the gynecological oncological practice in the country the technique of Laparoscopically Assisted Radical Vaginal Trachelectomy (LARVT) for treatment of uterine cervix early stage carcinoma in selected group of women, who want to preserve their fertility.


METHODS
The authors present one case of 31-years old patient with squamous cell uterine cervix carcinoma in IB1 stage and great desire for pregnancy, who underwent radical trachelectomy with laparoscopic lymph node dissection and transposition of the ovaries. LARVT technique is described.


RESULTS
The duration of the surgical intervention is 315 minutes, the blood loss--240 mi. No intra- and post-operative complications are registered. LARVT technique is similar to LARVH one. Contrary to LARVH in LARVT the round ligaments and uterine arteries are preserved. There are differences too in the approach to the ureters.


CONCLUSIONS
LARVT should be performed by gynecologists experienced in oncological surgery, abdominal pelvic and laparoscopic lymphadenectomy with the clear awareness that this technique is not standard.
G
G
Gorchev
S
S
Tomov
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D002583:Uterine Cervical Neoplasms / Q000601:surgery*