Radical trachelectomy with laparoscopic lymphadenectomy: review of oncologic and obstetrical outcomes

@article{Burnett2006RadicalTW,
  title={Radical trachelectomy with laparoscopic lymphadenectomy: review of oncologic and obstetrical outcomes},
  author={Alexander F. Burnett},
  journal={Current Opinion in Obstetrics and Gynecology},
  year={2006},
  volume={18},
  pages={8-13}
}
  • A. Burnett
  • Published 1 February 2006
  • Medicine
  • Current Opinion in Obstetrics and Gynecology
Purpose of review Fertility preservation in early cervical cancer by radical trachelectomy is gaining in acceptance as more cases are published in the literature. Controversies regarding technique and patient management are beginning to emerge as the procedure moves from being a new surgery to a part of standard of care. Recent findings As the number of cases reported in the literature increases, the effectiveness of radical trachelectomy for treating selected early-stage cancers continues to… Expand
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TLDR
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TLDR
Preliminary findings of less radical procedures in patients with tumours less than 2 cm, and negative sentinel and other pelvic lymph nodes, are comparable with the results of VRT and ART, which are considered safe surgical procedures. Expand
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TLDR
Radical abdominal trachelectomy seems to be a reasonable option for selected patients whose tumors are no larger than 4cm when conducted by experienced gynecologic oncologists. Expand
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TLDR
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TLDR
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TLDR
VRT is an oncologically safe procedure in well-selected patients with early-stage cervical cancer andFertility and obstetrical outcomes post VRT are excellent, and lesion size >2cm appears to be associated with a higher risk of recurrence and aHigher risk of abandoning the planned VRT. Expand
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Radical vaginal trachelectomy with pelvic lymphadenectomy permits preservation of fertility in selected patients and recurrence rates are comparable to those seen with radical hysterectomy. Expand
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Radical trachelectomy combined with pelvic lymphadenectomy can be a feasible method of treatment for early-stage cervical carcinoma in women who want to preserve their fertility. Expand
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Summary:Vaginal radical trachelectomy (VRT) is a new, alternative surgical procedure to radical hysterectomy for early stage invasive cervical carcinoma in women who desire to preserve fertility. TheExpand
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TLDR
In case of early cervical cancer, radical trachelectomy preserves fertility, leading to a good rate of living newborns without impairing the chances of survival. Expand
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VRT is an oncologically safe procedure in well-selected patients with early-stage cervical cancer and it allows fertility preservation, and Lesion size >2 cm appears to be associated with a higher risk of recurrence. Expand
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Laparoscopic abdominal radical trachelectomy with pelvic lymphadenectomy with pelvicymphadenectomy might be an alternative technique in the treatment of early stages cervical cancer in patients who desire future pregnancy. Expand
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This conservative yet locally radical procedure for a highly selected group of women who wished to preserve their fertility appears to offer a safe alternative to radical hysterectomy in early invasive cervical cancer. Expand
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