Obstet Gynecol Sci.  2016 Sep;59(5):373-378. 10.5468/ogs.2016.59.5.373.

Surgical and obstetrical outcomes after laparoscopic radical trachelectomy and pelvic lymphadenectomy for early cervical cancer

• Yoo SE
• So KA
• Kim SA
• Kim MK
• Lee YK
• Lee IH
• Kim TJ
• Lee KH

• KMID: 2391687
• DOI: http://doi.org/10.5468/ogs.2016.59.5.373

Abstract

OBJECTIVE
The aim of this study was to evaluate the surgical and obstetrical outcomes of patients with early cervical cancer who underwent laparoscopic radical trachelectomy and pelvic lymphadenectomy.
METHODS
We analyzed data from women who underwent laparoscopic radical trachelectomy and pelvic lymphadenectomy between July 2000 and October 2014.
RESULTS
Of a total of 12 patients, 91.7% were FIGO (International Federation of Gynecology and Obstetrics) stages IA2 and IB1. Seven patients (58.3%) had squamous cell carcinoma. The median tumor size was 1.87 cm (range, focal to 4.6 cm) and two patients (16.7%) had a tumor lager than 2 cm. Lymphovascular space invasion in the tumor lesion was reported in six patients (50%). The following surgical complications were observed: neurogenic bladder (one patient), hemoperitoneum (one patient), and infection (one patient). A total of 33.3% had attempted to conceive, resulting in two pregnancies and two healthy babies. All pregnancies were achieved by in vitro fertilization and embryo transfer. Each woman underwent cesarean delivery because of premature pre-labor rupture of membranes at gestational weeks 27.3 and 33.3. After a median follow-up time of 4.4 years (range, 1 to 8 years), there were no recurrences or deaths.
CONCLUSION
Laparoscopic radical trachelectomy and pelvic lymphadenectomy should be offered as an alternative treatment for women with early stage cervical cancer who want to preserve their fertility.

Keyword

Cervical cancer; Laparoscopy; Pregnancy; Trachelectomy

MeSH Terms

Carcinoma, Squamous Cell
Embryo Transfer
Female
Fertility
Fertilization in Vitro
Follow-Up Studies
Gynecology
Hemoperitoneum
Humans
Laparoscopy
Lymph Node Excision*
Membranes
Pregnancy
Recurrence
Rupture
Trachelectomy*
Urinary Bladder, Neurogenic
Uterine Cervical Neoplasms*

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