Abdominal Radical Trachelectomy

Surg J (N Y). 2021 Oct 22;7(Suppl 2):S97-S102. doi: 10.1055/s-0041-1728750. eCollection 2021 Dec.

Abstract

Abdominal radical trachelectomy is a fertility-sparing surgery for early invasive cervical cancer. The surgical steps involved in abdominal radical trachelectomy are similar to those for radical hysterectomy prior to removal of the uterus. The difference is that in trachelectomy, the uterine corpus and infundibulopelvic ligament are conserved and the cervical remnant is connected to the vaginal wall. Surgeons should pay close attention to avoiding postsurgical complications such as infection and ileus, which might interfere with subsequent fertility treatments.

Keywords: abdominal radical trachelectomy; cervical cancer; fertility-sparing surgery.