Radical trachelectomy
(2021) In International Journal of Gynecological Cancer 31. p.1068-1074- Abstract
Radical trachelectomy is the cornerstone' of fertility-sparing surgery in patients with early-stage cervical cancer wishing to preserve fertility. Growing evidence has demonstrated the oncologic safety and subsequent favorable pregnancy outcomes in well-selected cases. In the absence of prospective trials, the decision on the appropriate surgical approach (vaginal, open, or minimally invasive surgery) should be based on local resources and surgeons' preferences. Radical trachelectomy has the potential to preserve fertility in a large proportion of women with early-stage cervical cancer. However, prematurity and premature rupture of membranes are common obstetric complications after radical trachelectomy for cervical cancer. A... (More)
Radical trachelectomy is the cornerstone' of fertility-sparing surgery in patients with early-stage cervical cancer wishing to preserve fertility. Growing evidence has demonstrated the oncologic safety and subsequent favorable pregnancy outcomes in well-selected cases. In the absence of prospective trials, the decision on the appropriate surgical approach (vaginal, open, or minimally invasive surgery) should be based on local resources and surgeons' preferences. Radical trachelectomy has the potential to preserve fertility in a large proportion of women with early-stage cervical cancer. However, prematurity and premature rupture of membranes are common obstetric complications after radical trachelectomy for cervical cancer. A multidisciplinary approach is crucial to optimize the balance between oncologic and obstetric outcomes. The purpose of this review is to provide an updated overview of the technical, oncologic, and obstetric aspects of radical trachelectomy.
(Less)
- author
- Segarra-Vidal, Blanca ; Persson, Jan LU and Falconer, Henrik
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cervix uteri, gynecologic surgical procedures, operative, surgical procedures, uterine cervical neoplasms
- in
- International Journal of Gynecological Cancer
- volume
- 31
- pages
- 1068 - 1074
- publisher
- BMJ Publishing Group
- external identifiers
-
- pmid:33707207
- scopus:85102428195
- ISSN
- 1048-891X
- DOI
- 10.1136/ijgc-2020-001782
- language
- English
- LU publication?
- no
- id
- 1fee7470-96cd-4727-b446-3d16603dca90
- date added to LUP
- 2021-03-29 10:30:33
- date last changed
- 2024-06-30 12:13:55
@article{1fee7470-96cd-4727-b446-3d16603dca90,
abstract = {{<p>Radical trachelectomy is the cornerstone' of fertility-sparing surgery in patients with early-stage cervical cancer wishing to preserve fertility. Growing evidence has demonstrated the oncologic safety and subsequent favorable pregnancy outcomes in well-selected cases. In the absence of prospective trials, the decision on the appropriate surgical approach (vaginal, open, or minimally invasive surgery) should be based on local resources and surgeons' preferences. Radical trachelectomy has the potential to preserve fertility in a large proportion of women with early-stage cervical cancer. However, prematurity and premature rupture of membranes are common obstetric complications after radical trachelectomy for cervical cancer. A multidisciplinary approach is crucial to optimize the balance between oncologic and obstetric outcomes. The purpose of this review is to provide an updated overview of the technical, oncologic, and obstetric aspects of radical trachelectomy. </p>}},
author = {{Segarra-Vidal, Blanca and Persson, Jan and Falconer, Henrik}},
issn = {{1048-891X}},
keywords = {{cervix uteri; gynecologic surgical procedures; operative; surgical procedures; uterine cervical neoplasms}},
language = {{eng}},
pages = {{1068--1074}},
publisher = {{BMJ Publishing Group}},
series = {{International Journal of Gynecological Cancer}},
title = {{Radical trachelectomy}},
url = {{http://dx.doi.org/10.1136/ijgc-2020-001782}},
doi = {{10.1136/ijgc-2020-001782}},
volume = {{31}},
year = {{2021}},
}