Download PDF
CC BY-NC-ND 4.0 · Surg J (N Y) 2021; 07(S 02): S103-S107
DOI: 10.1055/s-0041-1739120
Precision Surgery in Obstetrics and Gynecology

Radical Vaginal Trachelectomy

Tsuyoshi Saito
1   Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Japan
,
Motoki Matsuura
1   Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Japan
,
Masato Tamate
1   Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Japan
,
Masahiro Iwasaki
1   Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Japan
,
Tasuku Mariya
1   Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Japan
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Recently, radical vaginal hysterectomy (RVH) has developed into laparoscopically assisted radical vaginal hysterectomy (LARVH), which is associated with the laparoscopical procedure, and it is applied as radical vaginal trachelectomy and semi-radical vaginal hysterectomy. LARVH is indicated for patients with stage IB1 and IIA1 cervical carcinoma, especially those with a tumor size of less than 2 cm, because the cardinal ligaments cannot be resected widely. Although RVH that is associated with laparoscopic pelvic lymphadenectomy is the most used surgical procedure, radical trachelectomy may be performed either abdominally or vaginally (laparoscopic or robotic). One report found that the pregnancy rate was higher in patients who underwent minimally invasive or radical vaginal trachelectomy than in those who underwent radical abdominal trachelectomy.

Keywords

cervical cancer - trachelectomy - laparoscopically assisted radical vaginal hysterectomy - fertility - laparoscopy - minimal invasiveness


Publication History

Article published online:
01 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Schauta F. Die erweiterte vaginal total Exsirpation des Uterus bei Collumcarcinoma. Austria: Safer Wien-Lepzig; 1908
    Google Scholar
  • 2 Amreich I. Zur Anatomie und Technik der erweiterten vaginalen Carcinomoreration. Arch Gynakol 1924; 122: 497-553
    CrossrefPubMedGoogle Scholar
  • 3 Navratil E. Radical vaginal panhysterectomy and pelvic lymphadenectomy. incongress on Obstetrics and Gynecology. St Louis: CV Mosby; 1951
    Google Scholar
  • 4 Akashi K. [The extraperitoneal vaginal ultra radical surgery of cancer of the collum]. Arch Gynakol 1967; 204 (02) 25-26
    CrossrefPubMedGoogle Scholar
  • 5 Mitra S. Extraperitoneal lymphadenectomy and radical vaginal hysterectomy for cancer of the cervix (Mitra technique). Am J Obstet Gynecol 1959; 78 (01) 191-196
    CrossrefPubMedGoogle Scholar
  • 6 Dargent D, Mathevet P. [Radical laparoscopic vaginal hysterectomy]. J Gynecol Obstet Biol Reprod (Paris) 1992; 21 (06) 709-710
    PubMedGoogle Scholar
  • 7 Pergialiotis V, Rodolakis A, Christakis D, Thomakos N, Vlachos G, Antsaklis A. Laparoscopically assisted vaginal radical hysterectomy: systematic review of the literature. J Minim Invasive Gynecol 2013; 20 (06) 745-753
    CrossrefPubMedGoogle Scholar
  • 8 Ishioka S, Endo T, Hayashi T, Baba T, Umemura K, Saito T. Pregnancy-related complications after vaginal radical trachelectomy for early-stage invasive uterine cervical cancer. Int J Clin Oncol 2007; 12 (05) 350-355
    CrossrefPubMedGoogle Scholar
  • 9 Kudo R, Ito E, Kusanagi T, Hashimoto M. Vaginal semiradical hysterectomy: a new operative procedure for microinvasive carcinoma of the cervix. Obstet Gynecol 1984; 64 (06) 810-815
    PubMedGoogle Scholar
  • 10 Piver MS, Rutledge F, Smith JP. Five classes of extended hysterectomy for women with cervical cancer. Obstet Gynecol 1974; 44 (02) 265-272
    PubMedGoogle Scholar