Uterine artery sparing minimally invasive radical trachelectomy: a case report and review of the literature

Publication date: Available online 4 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Soorin Kim, Sophie Chung, Masoud Azodi, Gulden MenderesABSTRACTRadical trachelectomy is considered in patients with early stage cervical cancer who desire future fertility. This manuscript is accompanied by a video that provides the step-by-step demonstration of a uterine artery sparing robotic-assisted radical trachelectomy in a patient with stage IB1 squamous cell carcinoma of the cervix, with a two centimeter mass, and a desire for future fertility. We also conducted a review of literature examining the use of uterine artery sparing techniques among minimally invasive radical trachelectomies. Using PubMed, Google Scholar, and Ovid search tools, 28 total publications were reviewed, of which 16 were eligible for use in our comparison. With the addition of our case report, a total of 154 cases sparing the uterine artery and 40 cases sacrificing the uterine artery were examined, including both conventional laparoscopic and robotic assisted approaches. Data describing patient demographics, as well as surgical, oncologic, and fertility outcomes were collected. The mean age was 30 years old for the spared group and 32 for the sacrificed group. At least 42% of the women in the spared and 53% of the uterine artery sacrificed group were nulliparous. The majority of cases in both spared and sacrificed groups represented squamous cell histology (71% for spared, 51% for sacrificed),...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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This article is accompanied by a video that provides step-by-step demonstration of a uterine artery–sparing robotic-assisted radical trachelectomy in a patient with stage IB1 squamous cell carcinoma of the cervix, a 2-cm mass, and a desire for future fertility. We also conducted a review of the literature examining the use of uterine artery–sparing techniques among minimally invasive radical trachelectomies. Using PubMed, Google Scholar, and Ovid search tools, 28 total publications were reviewed, of which 16 were eligible for use in our comparison. With the addition of our case report, a total of 154 cases spar...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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