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Laparoscopic radical trachelectomy (LRT) with round ligament and ascending branches of uterine artery preservation: case report

  • P. Inthasorn1,*,
  • K. Sirimai2
  • P. Sutchritpongsa2
  • M. Warnnissorn3
  • P. Tanmahasamut4
  • S. Therasakvichya1
  • C. Leelaphatanadit1

1Division of Gynaecologic Oncology, Thailand

2Division of Gynaecologic Endoscopy, Thailand

3Division of Reproductive Medicine, Department of Obstetrics and Gynaecology

4Department of Pathology, Faculty of Medicine Siriraj Hospital, Bangkok (Thailand)

DOI: 10.12892/ejgo24052014 Vol.35,Issue 1,January 2014 pp.84-86

Published: 10 January 2014

*Corresponding Author(s): P. Inthasorn E-mail: perapong_i@hotmail.com

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Abstract

Fertility sparing surgery might be a benefit for young patients with early-stage cervical cancer. The authors herein describe a case of adenocarcinoma of cervix Stage IA2 treated with laparoscopic radical trachelectomy (LRT) with round ligament and uterine artery preservation.

Keywords

Cervical cancer; Radical trachelectomy; Laparoscopy; Fertility.


Cite and Share

P. Inthasorn,K. Sirimai,P. Sutchritpongsa,M. Warnnissorn,P. Tanmahasamut,S. Therasakvichya,C. Leelaphatanadit. Laparoscopic radical trachelectomy (LRT) with round ligament and ascending branches of uterine artery preservation: case report. European Journal of Gynaecological Oncology. 2014. 35(1);84-86.

URL:

https://www.ejgo.net/articles/10.12892/ejgo24052014

References

[1] Covens A., Rosen B., Murphy J., Laframboise S., DePetrillo A.D., Lickrish G., et al.: “Changes in the demographics and perioperative care of stage IA(2)/IB(1) cervical cancer over the past 16 years”. Gynecol. Oncol., 2001, 81, 133.

[2] Dargent D., Martin X., Sacchetoni A., Mathevet P..: “Laparoscopic vaginal radical trachelectomy: a treatment to preserve the fertility of cervical carcinoma patients”. Cancer, 2000, 88, 1877.

[3] Smith J.R., Boyle D.C., Corless D.J., Ungar L., Lawson A.D., Del Priore G., et al.: “Abdominal radical trachelectomy: a new surgical technique for the conservative management of cervical carcinoma”. Br. J. Obstet. Gynaecol., 1997, 104, 1196.

[4] Abu-Rustum N.R., Neubauer N., Sonoda Y., Park K.J., Gemignani M., Alektiar K.M., et al.: “Surgical and pathologic outcomes of fertility-sparing radical abdominal trachelectomy for FIGO stage IB1 cervical cancer”. Gynecol. Oncol., 2008, 111, 261.

[5] Kim J.H., Park J.Y., Kim D.Y., Kim Y.M., Kim Y.T,. Nam J.H.: “Fertility-sparing laparoscopic radical trachelectomy for young women with early stage cervical cancer”. BJOG, 2010, 117, 340.

[6] Lee C.L., Huang K.G., Wang C.J., Yen C.F., Lai C.H.: “Laparoscopic radical trachelectomy for stage Ib1 cervical cancer”. J. Am. Assoc. Gynecol. Laparosc., 2003, 10, 111.

[7] Cibula D., Ungar L., Palfalvi L., Bino B., Kuzel D.: “Laparoscopic abdominal radical trachelectomy”. Gynecol. Oncol., 2005, 97, 707.

[8] Park N.Y., Chong G.O., Cho Y.L., Park I.S., Lee Y.S.: “Total laparoscopic nerve-sparing radical trachelectomy”. J. Laparoendosc. Adv. Surg. Tech. A., 2009, 19, 53.

[9] Bafghi A., Castaigne D., Pomel C.: “Radical trachelectomy: from the laparoscopic approach to the vaginal route”. J. Gynecol. Obstet. Biol. Reprod. (Paris), 2006, 35, 696.

[10] Wang Y.F., Chen G.W., Li W.S., Weng H.N., Lu X.G.: “Total laparoscopic radical trachelectomy with ascending branches of uterine arteries preservation”. Chin. Med. J. (Engl)., 2011, 124, 469.

[11] Wang C.J., Yuen L.T., Han C.M., Kay N., Lee C.L., Soong Y.K.: “A transient blocking uterine perfusion procedure to decrease operative blood loss in laparoscopic myomectomy”. Chang Gung Med. J., 2008, 31, 463.

[12] Ungar L., Palfalvi L., Hogg R., Siklos P., Boyle D.C., Del Priore G., et al.: “Abdominal radical trachelectomy: a fertility-preserving option for women with early cervical cancer”. BJOG, 2005, 112, 366.

[13] Abu-Rustum N.R., Sonoda Y.: “Fertility-sparing radical abdominal trachelectomy for cervical carcinoma”. Gynecol. Oncol., 2007, 104 (2 Suppl 1), 56.

[14] Ramirez P.T., Schmeler K.M., Soliman P.T., Frumovitz M.: “Fertility preservation in patients with early cervical cancer: radical trachelectomy”. Gynecol. Oncol., 2008, 110 (3 Suppl 2), S25.

[15] Legendre G., Brun J.L., Fernandez H.: “The place of myomectomy in woman of reproductive age”. J. Gynecol. Obstet. Biol. Reprod.(Paris), 2011, 40, 875.

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