Laparoscopic Radical Trachelectomy for Young Women with Early Stage Cervical Cancer

Kim, J.H.; Park, J.Y.; Kim, D.Y.; Kim, Y.M.; Kim, Y.T.; Nam, Joo‐Hyun

doi:10.1016/j.jmig.2008.09.564

Cited by 3 publications

(4 citation statements)

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“…There have been several reports showing the perioperative outcomes of LRT. In the larger reported series of LRT, 8,9,10,11 the mean operation time (range 232-349 min) and blood loss (range 50-332 mL) were similar to those seen in our work. In addition, Ebisawa et al reported three patients (3/54), and Vieira et al reported nine (9/42) who were converted to hysterectomy.…”

Section: Discussionsupporting

confidence: 87%

“…10,11 Intraoperative bladder and fallopian tube injury, blood transfusion, postoperative abnormal menstruation, urinary dysfunction, lymphocele, and cerclage erosion were reported in these studies. 8,9,11 Comparatively speaking, our work seemed to be noninferior to these studies or even achieved better surgical outcomes, with a short operation time (median 265.5 min) and less intraoperative blood loss (median 20 mL). The postoperative hospital stay was 6 days, which was not short for minimally invasive surgery, but it should be noted that this was attributed to the psychological characteristics of Chinese patients.…”

Section: Discussionmentioning

confidence: 62%

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Round ligament suspension and vaginal purse‐string suture: Newly optimized techniques to prevent tumor spillage in laparoscopic radical trachelectomy for cervical cancer

Huo

Huang

et al. 2022

J of Obstet and Gynaecol

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Aim:The purpose of this study was to investigate the surgical techniques and clinical feasibility of nonuterine manipulator and enclosed colpotomy to avoid cancer cell spillages in laparoscopic radical trachelectomy (LRT) for patients with early-stage cervical cancer. Methods: We performed the newly optimized surgical techniques of round ligament suspension and vaginal purse-string suture in LRT in 12 patients with early-stage cervical cancer from May 2019 to October 2020. Surgical information and postoperative results were recorded. Results: All 12 patients successfully underwent LRT with round ligament suspension and vaginal pursestring suture, and no conversion to laparotomy was required. The median operation time was 268.5 min (range 200-320 min), including 5 min of round ligament suspension, and the median blood loss was 20 mL (range 5-50 mL). The median number of pelvic lymph nodes removed was 27 (range 19-35), and median amounts of paracervical tissue was 24 mm (range 21-26 mm) and vaginal tissue was 18 mm (range 16-26 mm). No intraoperative complication or serious postoperative complications were reported. Conclusion: Round ligament suspension and vaginal purse-string suture techniques are feasible and effective in LRT. They can replace uterine manipulator and unprotected colpotomy with satisfactory perioperative outcomes.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 62%

Round ligament suspension and vaginal purse‐string suture: Newly optimized techniques to prevent tumor spillage in laparoscopic radical trachelectomy for cervical cancer

Huo

Huang

et al. 2022

J of Obstet and Gynaecol

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“…Kim et al reported that in 32 patients with an average 1.7 cm tumor size treated with LRT, the mean operative time was 290 minutes (120-520 minutes), loss of blood 332 ml (50-1000 ml), and no recurrence or death after 31 months follow-up. 61 Billard et al reported similar results in terms of intraoperative complications of LRT: average operative time of 240 min and 100 ml blood loss. 62 With robotic techniques, blood loss even reached < 100 ml, as reported by Nick et al 63 Current indications for radical trachelectomy are developed for tumors measuring ≥ 2 cm.…”

Section: Radical Trachelectomymentioning

confidence: 69%

Fertility-Sparing Surgery In Early Stage Cervical Cancer

Budiana

Pemayun

2018

Indonesian Journal of Cancer

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Cervical cancer is a malignancy in women that cause major impacts, not only biologically, but also in various aspects of life. On patients during reproductive age, cervical cancer poses severe sexual and reproductive debilitation. Trend in the onset of first diagnosis is moving towards younger age, and mostly affect women in their reproductive age. This would give a bad impact on the sustainability of the patient’s reproductive function. Until now, fertilitysparing approach for the management of early-stage cervical cancer is still rare in Indonesia. However, some options of conservative surgical therapy are available for patients who desire fertility, namely conization, simple tracellectomy, radical trachelectomy, and also neoadjuvant chemotherapy. These options have been proven effective and safe, while maintaining patients’ reproductive functions. ABSTRAKKanker serviks merupakan suatu penyakit keganasan pada wanita yang memiliki dampak luas, tidak hanya pada tubuh penderita, namun juga berbagai aspek kehidupan penderita. Pada penderita di usia reproduktif, kanker serviks menimbulkan masalah seksual dan reproduksi yang berat bagi penderita. Kini usia dimana terjadinya kanker serviks mulai menunjukkan kecenderungan yang semakin muda yang tentunya memberikan dampak buruk terhadap keberlangsungan fungsi reproduksi pasien. Hingga saat ini, tatalaksana kanker serviks stadium awal dengan pendekatan fertility-sparing masih jarang dilakukan di Indonesia. Namun, beberapa pilihan terapi bedah konservatif tersedia bagi pasien yang menginginkan fertilitas, yakni konisasi, trakelektomi sederhana, trakelektomi radikal. hingga pemberian kemoterapi neo-adjuvant. Pilihan terapi ini telah terbukti efektif dan aman, serta mampu mem pertahankan fungsi reproduksi pasien.

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“…Some of our most extensive procedures can be performed via MIS. Delicate and precise procedures such as fertility-sparing radical trachelectomies or parametrectomies have been performed via advanced laparoscopy and robotics [46,47]. Even the largest, most extensive procedures have met a MIS approach.…”

Section: Applications Of Mis In Gonmentioning

confidence: 99%

Minimally Invasive Surgery in Gynecologic Oncology: A Review of Modalities and the Literature

Jernigan

Auer

Fader

et al. 2012

Womens Health (Lond Engl)

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Minimally invasive surgery is one of the newest and most exciting areas of development in procedural medicine. This field shows tremendous potential to increase therapeutic benefit while minimizing some of the painful or dangerous side effects of surgical interventions. Minimally invasive surgery has strong historic ties to the field of gynecology and has come a long way as technology and techniques have improved. This has increasingly allowed the application of laparoscopy to more complex procedures and the treatment of gynecologic malignancies. Three laparoscopic approaches, traditional laparoscopy, robotic assisted laparoscopy and laparoendoscopic single-site surgery are reviewed here. We discuss the basic approaches to these three laparoscopic techniques, and then review their applications in gynecologic oncology. We also touch on the evidence behind outcomes associated with their use.

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Laparoscopic Radical Trachelectomy for Young Women with Early Stage Cervical Cancer

Cited by 3 publications

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Round ligament suspension and vaginal purse‐string suture: Newly optimized techniques to prevent tumor spillage in laparoscopic radical trachelectomy for cervical cancer

Round ligament suspension and vaginal purse‐string suture: Newly optimized techniques to prevent tumor spillage in laparoscopic radical trachelectomy for cervical cancer

Fertility-Sparing Surgery In Early Stage Cervical Cancer

Minimally Invasive Surgery in Gynecologic Oncology: A Review of Modalities and the Literature

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