Radical vaginal trachelectomy with laparoscopic pelvic lymphadenectomy for early cervical cancer: a report of two cases

Authors

  • Jorge Alexander Rodríguez
  • José Duván López

DOI:

https://doi.org/10.18597/rcog.421

Keywords:

trachelectomy, cervical cancer, laparoscopy

Abstract

Introduction: cervical cancer is the most common gynaecological neoplasia in developing countries, where patients wishing to reproduce in the past had no surgical options open to them for treating cancer and preserving their fertility at the same time. This paper was aimed at reporting the feasibility of carrying out the procedure in our setting.

Clinical cases: the cases presented concern two female patients aged 24 and 29 having cervical cancer IA2 and IB1, respectively. They wished to preserve their reproductive functions and underwent radical vaginal trachelectomy and laparoscopic pelvic lymphadenectomy with successful surgical results.

Conclusion: minimal invasive treatment techniques in patients suffering from invasive cervical cancer represent an alternative when a patient wants to preserve her fertility.

Author Biographies

Jorge Alexander Rodríguez

Ginecólogo Oncólogo, Clínica Saludcoop, Medellín, Colombia.

José Duván López

 Fellow de Ginecología endoscópica, Universidad CES, ginecólogo clínica Saludcoop Medellín, Colombia.

References

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Dargent D, Martin X, Sacchettoni A, Mathevet P. Laparoscopic vaginal radical trachelectomy: a treatment to preserve the fertility of cervical carcinoma patients. Cancer 2000;88:1877-82.

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Covens A, Shaw P, Murphy J, DePetrillo D, Lickrish G, Laframboise S, et al. Is radical trachelectomy a safe alternative to radical hysterectomy for patients with stage IA-B carcinoma of the cervix? Cancer 1999;86:2273-9.

Plante M, Renaud MC, Francois H, Roy M. Vaginal radical trachelectomy: an oncologically safe fertility preserving surgery. An updated series of 72 cases and review of the literature. Gynecol Oncol 2004; 94:614-23.

Boss EA, van Golde RJ, Beerendonck CC, Massuger LF, Pregnancy after radical trachelectomy: a real option? Gynecol Oncol 2005;99:S152-6.

Plante M, Renaud MC, Hoskins IA, Roy M. Vaginal radical trachelectomy: a valuable fertility-preserving option in the management of early-stage cervical cancer. A series of 50 pregnancies and review of the literature. Gynecol Oncol 2005;98:3-10.

How to Cite

1.
Rodríguez JA, López JD. Radical vaginal trachelectomy with laparoscopic pelvic lymphadenectomy for early cervical cancer: a report of two cases. Rev. colomb. obstet. ginecol. [Internet]. 2008 Jun. 30 [cited 2024 May 18];59(2):147-50. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/421

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Published

2008-06-30
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