Large Conization and Laparoendoscopic Single-Port Pelvic Lymphadenectomy in Early-Stage Cervical Cancer for Fertility Preservation
Fertility preservation in early-stage cervical cancer is a hot topic in gynecologic oncology. Although radical vaginal trachelectomy (RVT) is suggested as a fertility preserving approach, there are some serious concerns like cervical stenosis, second trimester loss, preterm delivery in survivors, an...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/207191 |
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| author | Polat Dursun Mete Caglar Huseyin Akilli Ali Ayhan |
| author_facet | Polat Dursun Mete Caglar Huseyin Akilli Ali Ayhan |
| author_sort | Polat Dursun |
| collection | DOAJ |
| description | Fertility preservation in early-stage cervical cancer is a hot topic in gynecologic oncology. Although radical vaginal trachelectomy (RVT) is suggested as a fertility preserving approach, there are some serious concerns like cervical stenosis, second trimester loss, preterm delivery in survivors, and lack of residual tumor in the majority of the surgical specimens. Therefore, less radical surgical operations have been proposed in early-stage cervical carcinomas. On the other hand, single-incision laparoscopic surgery (SILS) is an evolving endoscopic approach for minimal access surgery. In this report, we present a case with early-stage cervical cancer who wishes to preserve fertility. We successfully performed single-port pelvic lymphadenectomy and large conization to preserve fertility potential of the patient. We think that combination of less radical approach like conization and single-port pelvic lymphadenectomy might be less minimally invasive and is still an effective surgical approach in well-selected cases with cervical carcinomas. Incorporation of single-port laparoscopy into the minimally invasive fertility sparing management of the cervical cancer will improve patients outcome with less complications and better cosmesis. Further studies are needed to reach a clear conclusion. |
| format | Article |
| id | doaj-art-0d13d90dad3f48b58f082c0f9075b467 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-0d13d90dad3f48b58f082c0f9075b4672025-02-03T01:11:49ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/207191207191Large Conization and Laparoendoscopic Single-Port Pelvic Lymphadenectomy in Early-Stage Cervical Cancer for Fertility PreservationPolat Dursun0Mete Caglar1Huseyin Akilli2Ali Ayhan3Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, Baskent University School of Medicine, Kubilay Sokak No. 36, Maltepe, 06100 Ankara, TurkeyDuzce University School of Medicine, Duzce, TurkeyDivision of Gynecologic Oncology, Department of Obstetrics & Gynecology, Baskent University School of Medicine, Kubilay Sokak No. 36, Maltepe, 06100 Ankara, TurkeyDivision of Gynecologic Oncology, Department of Obstetrics & Gynecology, Baskent University School of Medicine, Kubilay Sokak No. 36, Maltepe, 06100 Ankara, TurkeyFertility preservation in early-stage cervical cancer is a hot topic in gynecologic oncology. Although radical vaginal trachelectomy (RVT) is suggested as a fertility preserving approach, there are some serious concerns like cervical stenosis, second trimester loss, preterm delivery in survivors, and lack of residual tumor in the majority of the surgical specimens. Therefore, less radical surgical operations have been proposed in early-stage cervical carcinomas. On the other hand, single-incision laparoscopic surgery (SILS) is an evolving endoscopic approach for minimal access surgery. In this report, we present a case with early-stage cervical cancer who wishes to preserve fertility. We successfully performed single-port pelvic lymphadenectomy and large conization to preserve fertility potential of the patient. We think that combination of less radical approach like conization and single-port pelvic lymphadenectomy might be less minimally invasive and is still an effective surgical approach in well-selected cases with cervical carcinomas. Incorporation of single-port laparoscopy into the minimally invasive fertility sparing management of the cervical cancer will improve patients outcome with less complications and better cosmesis. Further studies are needed to reach a clear conclusion.http://dx.doi.org/10.1155/2013/207191 |
| spellingShingle | Polat Dursun Mete Caglar Huseyin Akilli Ali Ayhan Large Conization and Laparoendoscopic Single-Port Pelvic Lymphadenectomy in Early-Stage Cervical Cancer for Fertility Preservation Case Reports in Surgery |
| title | Large Conization and Laparoendoscopic Single-Port Pelvic Lymphadenectomy in Early-Stage Cervical Cancer for Fertility Preservation |
| title_full | Large Conization and Laparoendoscopic Single-Port Pelvic Lymphadenectomy in Early-Stage Cervical Cancer for Fertility Preservation |
| title_fullStr | Large Conization and Laparoendoscopic Single-Port Pelvic Lymphadenectomy in Early-Stage Cervical Cancer for Fertility Preservation |
| title_full_unstemmed | Large Conization and Laparoendoscopic Single-Port Pelvic Lymphadenectomy in Early-Stage Cervical Cancer for Fertility Preservation |
| title_short | Large Conization and Laparoendoscopic Single-Port Pelvic Lymphadenectomy in Early-Stage Cervical Cancer for Fertility Preservation |
| title_sort | large conization and laparoendoscopic single port pelvic lymphadenectomy in early stage cervical cancer for fertility preservation |
| url | http://dx.doi.org/10.1155/2013/207191 |
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