Laparoscopic radical trachelectomy for stage Ib1 cervical cancer

Chyi Long Lee; Kuan Gen Huang; Chin Jung Wang; Chih Feng Yen; Chyong Huey Lai

doi:10.1016/S1074-3804(05)60244-7

Laparoscopic radical trachelectomy for stage Ib1 cervical cancer

Chyi Long Lee, Kuan Gen Huang, Chin Jung Wang, Chih Feng Yen, Chyong Huey Lai^*

^*Corresponding author for this work

Research output: Contribution to journal › Journal Article › peer-review

78 Scopus citations

Abstract

Radical trachelectomy by vaginal approach is an alternative for young women with early-stage cervical cancer. We modified this procedure to treat two patients with stage Ib1 cervical cancer. With 100% laparoscopic pelvic lymphadenectomy and 80% laparoscopic approach, the technique is laparoscopic radical trachelectomy (LRT). Under direct enhanced vision of the laparoscope, it is easy to identify and preserve ascending branches of the uterine arteries and to divide ligaments surrounding the cervix and vagina. Vaginal procedures require only colpotomy, amputation of cervix, dividing caudal paracolpium, and corpus-vagina anastomosis. Short-term follow-up results of our first patients are satisfactory. Thus, LRT could be a useful alternative for women with early cervical cancer who want to preserve fertility.

Original language	English
Pages (from-to)	111-115
Number of pages	5
Journal	Journal of the American Association of Gynecologic Laparoscopists
Volume	10
Issue number	1
DOIs	https://doi.org/10.1016/S1074-3804(05)60244-7
State	Published - 02 2003

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AU - Lee, Chyi Long

AU - Huang, Kuan Gen

AU - Wang, Chin Jung

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AU - Lai, Chyong Huey

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AB - Radical trachelectomy by vaginal approach is an alternative for young women with early-stage cervical cancer. We modified this procedure to treat two patients with stage Ib1 cervical cancer. With 100% laparoscopic pelvic lymphadenectomy and 80% laparoscopic approach, the technique is laparoscopic radical trachelectomy (LRT). Under direct enhanced vision of the laparoscope, it is easy to identify and preserve ascending branches of the uterine arteries and to divide ligaments surrounding the cervix and vagina. Vaginal procedures require only colpotomy, amputation of cervix, dividing caudal paracolpium, and corpus-vagina anastomosis. Short-term follow-up results of our first patients are satisfactory. Thus, LRT could be a useful alternative for women with early cervical cancer who want to preserve fertility.

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Laparoscopic radical trachelectomy for stage Ib1 cervical cancer

Abstract

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