Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery  2011;23(1):45-50

Experience of laparoscopic-assisted radical vaginal trachelectomy for 2 patients with cervical cancer stage I.

Mi Sung KIM 1 ; Yu Kyung CHO ; In Ho JO ; Eun Jeong JEONG ; Jung Mi BYUN ; Young Nam KIM ; Dae Hoon JEONG ; Moon Su SUNG ; Ki Tae KIM ; Kyung Bok LEE

Affiliations

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Keywords

Laparoscopic-assisted radical vaginal trachelectomy (LARVT); Cervical cancer; Fertility-preserving surgery

Country

Republic of Korea

Language

Korean

Abstract

Because of the organized screening programs, incidence and mortality of cervical cancer has been decreased and cervical cancer is diagnosed in relatively young age women and early stages. Traditional treatments for early cervical cancer are radical hysterectomy or chemoradiation, which irreversibly destroy reproductive capacity. Radical vaginal trachelectomy could be an alternative option for young women with early cervical cancer wishing to preserve fertility. Here, we report 2 cases of our initial experiences with Laparoscopy-Assisted Radical Vaginal Trachelectomy (LARVT) for patients with cervical cancer stage I. Two cases of 29 and 31-year-old nulliparous women were diagnosed with cervical cancer IA1-IA2. They underwent LARVT with permanent cervicoisthmic cerclage with 3 cycles of adjuvant chemotherapy. LARVT can be the procedure of choice for women with early stage cervical cancer who desire a fertility preservation.