Abdominální radikální trachelektomie - Technika a zkušenosti

Translated title of the contribution: Abdominal radical trachelectomy - Technique and experience

D. Cibula, L. Ungár, J. Svárovský, J. Živný, P. Freitag

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: Discussion of current experiences with abdominal radical trachelectomy in the treatment of early stages of cervical cancer in fertile women. Design: Case-reports. Setting: Department of Obstetrics and Gynecology, General Faculty Hospital and 1st Medical Faculty, Charles University, Prague. Methods: Presentation of 4 cases of abdominal radical trachelectomy and pelvic lymphadenectomy. Discussion with published data. Results: Three cases of open abdominal and one case of laparoscopic abdominal radical trachelectomies together with pelvic lymphadenectomies are presented. All procedures were indicated for cervical cancer stages IA2-IB1. Frozen section of pelvic nodes and a slice of upper margin of cervix revealed no metastasis or infiltration. In total 22-43 pelvic nodes were removed, being negative in all cases. Operative time ranged between 148 and 270 min. in laparotomy and 250 min. in laparoscopy. Blood loss reached 350-3500 ml. There were no intraoperative complications, postoperatively one case of bladder atony was treated by suprapubic drainage for 30 days, one case of ileus was managed pharmacologically. Vaginal suture healed properly in all cases. No complications occurred within limited follow-up of 1-5 months. Conclusion: Abdominal radical trachelectomy with pelvic lymphadenectomy is a rational alternative in the treatment of stages IA2-IIA cervical cancer in women of fertile age. Standard radicality in parametria resection and easy incorporation into armamentarium of oncogynecological centers are main advantages of such approach. Laparotomy can be avoided using laparoscopy.

Original languageUndefined/Unknown
Pages (from-to)117-122
Number of pages6
JournalCeska Gynekologie
Volume70
Issue number2
Publication statusPublished - 2005

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Lymph Node Excision
Uterine Cervical Neoplasms
Laparoscopy
Laparotomy
Medical Faculties
Hospital Obstetrics and Gynecology Department
Ileus
Peritoneum
Intraoperative Complications
Frozen Sections
Operative Time
Gynecology
Cervix Uteri
General Hospitals
Sutures
Drainage
Urinary Bladder
Neoplasm Metastasis
Trachelectomy
Therapeutics

Keywords

  • Abdominal radical trachelectomy
  • Cervical cancer
  • Fertility sparing surgery
  • Laparoscopy
  • Pelvic lymfadenectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Cibula, D., Ungár, L., Svárovský, J., Živný, J., & Freitag, P. (2005). Abdominální radikální trachelektomie - Technika a zkušenosti. Ceska Gynekologie, 70(2), 117-122.

Abdominální radikální trachelektomie - Technika a zkušenosti. / Cibula, D.; Ungár, L.; Svárovský, J.; Živný, J.; Freitag, P.

In: Ceska Gynekologie, Vol. 70, No. 2, 2005, p. 117-122.

Research output: Contribution to journalArticle

Cibula, D, Ungár, L, Svárovský, J, Živný, J & Freitag, P 2005, 'Abdominální radikální trachelektomie - Technika a zkušenosti', Ceska Gynekologie, vol. 70, no. 2, pp. 117-122.
Cibula D, Ungár L, Svárovský J, Živný J, Freitag P. Abdominální radikální trachelektomie - Technika a zkušenosti. Ceska Gynekologie. 2005;70(2):117-122.
Cibula, D. ; Ungár, L. ; Svárovský, J. ; Živný, J. ; Freitag, P. / Abdominální radikální trachelektomie - Technika a zkušenosti. In: Ceska Gynekologie. 2005 ; Vol. 70, No. 2. pp. 117-122.
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