Saadi J, Perrotta M, Testa T, Gogorza S, Vázquez L

Language: Spanish
References: 15
Page: 1-7
PDF size: 281.72 Kb.

ABSTRACT

Objectives: To present the case of a patient with cervical cancer and wishes to preserve fertility which underwent a laparoscopic radical trachelectomy. Describe our laparoscopic surgical technique in the Hospital Italiano de Buenos Aires.
Case: was performed laparoscopic radical trachelectomy a 23 year old patient diagnosed with adenocarcinoma of the cervix, stage IB, which previously had undergone cervical conization diagnosed. The preoperative tumor size was 1.5 cm 1.3x. This patient had a previous pregnancy and wishes to preserve fertility.
Surgical Technique: Laparoscopic placed 4-way, umbilical, right lower quadrant, left lower quadrant and bilateral pelvic lymphadenectomy suprapúbica.Se from circumflex vein to the junction of the ureter with the external iliac artery. Intraoperative lymph were analyzed and were free of disease. Was preserved left uterine artery. The parametrium were sectioned at its origin. The cervical section boundary isthmus level was getting a surgical specimen of 2 cm. Section margins were negative tested intraoperatively. Obtained a handle vaginal 1.5 cm, free of disease. A catheter was placed to maintain permeable silicone intrauterine cervical canal and uterine anastomosis to the vagina was performed with 2.0 Vicryl sutures with interrupted sutures. Both round ligaments, tubes and ovaries were preserved.
The operative time was 250 minutes, there were no intraoperative complications. The length of hospital stay was 36 hours.
Conclusions: The laparoscopic radical trachelectomy is a feasible and safe treatment option to be performed in women with cervical cancer and wishes to preserve fertility.

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