Questionnaire survey of the current status of radical trachelectomy in Japan

Sato, Shinya; Aoki, Daisuke; Kobayashi, Hiroaki; Saito, Tsuyoshi; Nishimura, Ryuichiro; Nagano, Tadayoshi; Yaegashi, Nobuo; Enomoto, Takayuki; Kigawa, Junzo

doi:10.1007/s10147-010-0146-6

Cited by 15 publications

(9 citation statements)

References 12 publications

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“…Being sensitive to patients' true feelings and thoughts helps nurses provide the best and most appropriate care. 3 The corresponding results at our institution seem better (16 pregnancies and 14 live births in 126 trachelectomies), 7 as do the international data (300 pregnancies and 196 live births in more than 900 trachelectomies worldwide) 8 ; however, these results are still suboptimal. 6 Radical trachelectomy is similar to a radical hysterectomy that the cervix is removed after ruling out metastasis with lymphadenectomy, but it leaves the uterus so that later pregnancy could occur.…”

mentioning

confidence: 60%

Repair of the Threatened Feminine Identity

Komatsu¹,

Yagasaki²,

Shoda³

et al. 2014

Cancer Nursing

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confidence: 60%

Repair of the Threatened Feminine Identity

Komatsu¹,

Yagasaki²,

Shoda³

et al. 2014

Cancer Nursing

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“…Is RT also practical for pregnant patients with early invasive uterine cervical cancer? Not a few institutes in Japan have started to perform RT for patients with early invasive uterine cervical cancer who desire the preservation of fertility . Their oncological results seem to be as good as for radical hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Not a few institutes in Japan have started to perform RT for patients with early invasive uterine cervical cancer who desire the preservation of fertility. 4,10,11 Their oncological results seem to be as good as for radical hysterectomy. However, RT for pregnant patients is still a big challenge for both obstetricians and gynecologic oncologists.…”

Section: Discussionmentioning

confidence: 99%

Obstetrical prognosis of patients who underwent vaginal radical trachelectomy during pregnancy

Umemoto

Ishioka

Mizugaki

et al. 2019

J of Obstet and Gynaecol

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Aim Radical trachelectomy (RT) with pelvic lymphadenectomy has become an option for young patients with early invasive uterine cervical cancer who decide to maintain their fertility. However, this operative method entails a high risk for the following pregnancy due to its radicality. Therefore, RT for pregnant patients can be a challenge both for gynecologic oncologists and obstetricians. Methods We have performed vaginal RT for five pregnant patients with uterine cervical cancer stage 1B1 according to the method of Dargent et al. The operations were performed between 16 and 26 weeks of pregnancy, and the patients were followed up carefully according to the follow‐up methods we reported previously. Results Vaginal RT was performed for five patients without any troubles. Four of the patients continued their pregnancies until almost 34 weeks or longer under our previously published follow‐up schedule. The pregnancy of one patient was terminated at 26 weeks due to recurrence of the cancer. Conclusion Expansion of vaginal RT for pregnant patients with uterine cervical cancer could be a practical option for pregnant patients with early invasive uterine cervical cancer.

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“…But VRT demands that surgeons are skilled in laparoscopic lymphadenectomy and in vaginal radical surgery (Schauta's procedure), which are not acquired by the majority of gynaecological oncologists. ART, however, is very similar to abdominal radical hysterectomy and does not need any special surgical training or instruments, making it a more accessible procedure that can technically be performed by any trained gynaecological oncologist in many countries (Hurst et al , 2010; Sato et al , 2011). The choice of ART may also be owing to other indications such as paediatric patients, bulky exophytic cervical cancer and abnormal vaginal anatomy (Abu-Rustum et al , 2005; Cibula et al , 2008).…”

Section: Discussionmentioning

confidence: 99%

Comparisons of vaginal and abdominal radical trachelectomy for early-stage cervical cancer: preliminary results of a multi-center research in China

Cao

Yang

Wu³

et al. 2013

Br J Cancer

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Background:There are limited data comparing the prognosis and fertility outcomes of the patients with early cervical cancer treated by trans-vaginal radical trachelectomy (VRT) or abdominal radical trachelectomy (ART).The objective of this study was to compare the surgical and pathologic characteristics, the prognosis and fertility outcomes of the patients treated by VRT or ART.Methods:Matched-case study based on a prospectively maintained database of patients underwent radical trachelectomy in 10 centres of China was designed to compare the prognosis and fertility outcomes of the patients treated by VRT or ART.Results:Totally 150 cases, 77 in the VRT and 73 in the ART group, were included. VRT and ART provide similar surgical and pathological outcomes except larger specimens obtained by ART. In the ART group, no patient developed recurrent diseases, but, in the VRT group, 7 (9.8%) patients developed recurrent diseases and 2 (1.6%) patients died of the tumours (P=0.035). The rate of pregnancy in the VRT group was significantly higher than those of ART (39.5% vs 8.8% P=0.003). The patients with tumour size >2 cm showed significant higher recurrent rate (11.6% vs 2.4%, P<0.05) and lower pregnant rate (12.5% vs 32.1%, P=0.094) compared with the patients with tumour size <2 cm.Conclusion:Patients treated by ART obtained better oncology results, but their fertility outcomes were unfavourable compared with VRT. Tumour size <2 cm should be emphasised as an indication for radical trachelectomy for improving the outcome of fertility and prognosis.

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Questionnaire survey of the current status of radical trachelectomy in Japan

Abstract: This survey is the first report on the current status of radical trachelectomy in Japan. It reveals a difference in the criteria for surgery applied in each institution.

Cited by 15 publications

References 12 publications

Repair of the Threatened Feminine Identity

Repair of the Threatened Feminine Identity

Obstetrical prognosis of patients who underwent vaginal radical trachelectomy during pregnancy

Comparisons of vaginal and abdominal radical trachelectomy for early-stage cervical cancer: preliminary results of a multi-center research in China

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