title: [Laparoscopic radical trachelectomy for preservation of fertility in early cervical cancer. A case report].
abstract: BACKGROUND
  Radical 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.
  
  
  OBJECTIVE
  To present the first case of laparoscopic radical trachelectomy performed in the National Cancer Institute, and published in Mexico.
  
  
  METHODS
  Patient, 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 330minutes, 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.
  
  
  CONCLUSIONS
  Laparoscopic radical trachelectomy and bilateral pelvic lymphadenectomy is a safe alternative in young patients who wish to preserve fertility with early stage cervical cancer.
authors.affiliation: Servicio de Ginecología Oncológica, Instituto Nacional de Cancerología México, México D.F., México. Electronic address: islasurgery@hotmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Isla Ortiz
authors.affiliation: Servicio de Ginecología Oncológica, Instituto Nacional de Cancerología México, México D.F., México.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Montalvo-Esquivel
authors.affiliation: Servicio de Patología, Instituto Nacional de Cancerología, México D.F., México.
authors.forename: José Gregorio
authors.initials: JG
authors.lastname: Chanona-Vilchis
authors.affiliation: Servicio de Ginecología Oncológica, Instituto Nacional de Cancerología México, México D.F., México.
authors.forename: Ángel
authors.initials: Á
authors.lastname: Herrera Gómez
authors.affiliation: Servicio de Ginecología Oncológica, Instituto Nacional de Cancerología México, México D.F., México.
authors.forename: Silvio Antonio
authors.initials: SA
authors.lastname: Ñamendys Silva
authors.affiliation: Servicio de Ginecología Oncológica, Instituto de Cancerología, Medellín, Colombia.
authors.forename: Luis René
authors.initials: LR
authors.lastname: Pareja Franco
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000601:surgery*; D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D059247:Fertility Preservation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision; D008279:Magnetic Resonance Imaging; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D014621:Vagina / Q000601:surgery*
keywords: Cervical cancer; Cáncer de cérvix; Fertility preservation; Preservación de la fertilidad; Radical trachelectomy; Traquelectomía radical