Radical vaginal trachelectomy (RVT) combined with laparoscopic pelvic lymphadenectomy: Prospective multicenter study of 100 patients with early cervical cancer

Radical Vaginal Trachelectomy

“…Most data relating to RVT is collected retrospectively in specialized gynecological oncology treatment centers. The quality of the surgery and the experience of the surgeon are of great importance for the oncological results and the outcome of subsequent pregnancies (14,17,21,22). There are no randomized controlled trials regarding oncological outcomes of RVT compared with radical hysterectomy.…”

“…Marchiole (15) Plante (31) Shepherd (19) Hertel (14) Covens (13) Sonoda (20) Schlaerth (26) Dargent (28) Mathevet (39) Burnett (27) Lanowska ( treatment with radical hysterectomy in patients with a tumor diameter of ≤ 2cm and invasion of the connective tissue of less than 10 mm without invasion of the lymph nodes (Table 1) (14,17,18,(22)(23)(24)(25)(26)(27)(28). The recurrence rates are in the range of 2% to 5% and the mortality rates are 3% to 6% and are different in different groups.…”

“…The recurrence rates are in the range of 2% to 5% and the mortality rates are 3% to 6% and are different in different groups. All data were collected retrospectively (14,22). In contrast to the data of other groups, we evaluated the cohort of women post RVT prospectively.…”

“…One of the important factors for survival without recurrence is the expertise of the surgeon. The RVT should be performed in a center specialized in this technique to ensure the best possible peri-and postoperative care for the patient (14). One problem with existing studies was the lack of follow-up of these young, mobile patients.…”

“…A number of retrospective studies (12,13) show that the rates of recurrence and survival after RVT are similar or even superior to those following radical hysterectomy (14)(15)(16)(17)(18)(19). Radical removal of the cervix should be discussed with patients as a possible alternative therapy if preserving fertility is desirable.…”