title: Laparoscopic radical trachelectomy: technique, feasibility, and outcomes.
abstract: OBJECTIVE
  Our objectives are to describe our surgical technique for laparoscopic radical trachelectomy, to evaluate its feasibility, and to present the perioperative results at Hospital Italiano de Buenos Aires, Argentina.
  
  
  METHODS
  We analyzed 4 patients who underwent laparoscopic radical trachelectomy for early-stage cervical cancer between December 2011 and May 2013.
  
  
  RESULTS
  Four patients were included in this study. Total laparoscopic radical trachelectomy was performed in all cases. The mean age was 26 years (range, 19-32 years), the mean body mass index was 21 (range, 18-23), and the mean length of hospital stay was 33 hours (range, 24-36 hours). The mean operative time was 225 minutes (range, 210-240 minutes), and no complications were reported. During the postoperative period, only 1 patient presented with left vulvar edema, which resolved spontaneously. The pelvic and parametrial lymph nodes, as well as the vaginal cuff and cervical resection margins, were negative for malignancy in all cases. On average, 18 pelvic lymph nodes (range, 15-20) were removed. The tumor stage was IB in all 4 patients, and the mean tumor size was 17 mm (range, 12-31 mm). No patient required conversion to laparotomy.
  
  
  CONCLUSIONS
  We consider laparoscopic radical trachelectomy, performed by trained surgeons, a feasible and safe therapeutic option as a fertility-sparing surgical technique, with good perioperative outcomes for women with early-stage cervical cancer with a desire to preserve their fertility. Minimally invasive surgery provides the widely known benefits of this type of approach.
authors.affiliation: Gynecologic Oncology Unit, Department of Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: José Martín
authors.initials: JM
authors.lastname: Saadi
authors.affiliation: Gynecologic Oncology Unit, Department of Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: Myriam
authors.initials: M
authors.lastname: Perrotta
authors.affiliation: Gynecologic Oncology Unit, Department of Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: Roberto
authors.initials: R
authors.lastname: Orti
authors.affiliation: Gynecologic Oncology Unit, Department of Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: Gloria
authors.initials: G
authors.lastname: Salvo
authors.affiliation: Gynecologic Oncology Unit, Department of Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: María Eugenia
authors.initials: ME
authors.lastname: Giavedoni
authors.affiliation: Gynecologic Oncology Unit, Department of Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: Sebastían
authors.initials: S
authors.lastname: Gogorza
authors.affiliation: Gynecologic Oncology Unit, Department of Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: Roberto
authors.initials: R
authors.lastname: Testa
mesh_terms: D000328:Adult; D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D005260:Female; D005298:Fertility; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures; D061646:Operative Time; D000069339:Trachelectomy / Q000379:methods*; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*; D055815:Young Adult
keywords: Cervical cancer; Laparoscopy; Trachelectomy
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