Can I read Minimally invasive radical trachelectomy: Considerations on surgical approach on EtoBox?

Minimally invasive radical trachelectomy: Considerations on surgical approach by Gloria Salvo; Rene Pareja; Pedro T. Ramirez is a Medicine article available to read on EtoBox.

What is Minimally invasive radical trachelectomy: Considerations on surgical approach about?

Current evidence supports that radical trachelectomy is a safe and feasible alternative to patients with early-stage cervical cancer who wish to preserve fertility. In addition, published retrospective literature supports that oncologic outcomes are equivalent to those of radical hysterectomy. First published as a vaginal approach, a number of other approaches have been reported including laparotomic, laparoscopic, and robotic. In 2018, the first ever prospective randomized trial (LACC) comparing open vs. minimally invasive radical hysterectomy showed worse disease-free and overall survival for the minimally invasive (both laparoscopic and robotic) approach than the open approach. This landmark publication raised concerns regarding the oncologic safety of minimally invasive radical trachelectomy. In the United States, minimally invasive became the dominant approach by 2011 for radical trachelectomy. Given that radical trachelectomy is an infrequent performed procedure, only small retrospective studies, systematic reviews, and large database studies have been published. These studies are limited by their retrospective nature, small sample size, patient selection bias, unbalanced gro

Who reads Minimally invasive radical trachelectomy: Considerations on surgical approach?

Author

Gloria Salvo; Rene Pareja; Pedro T. Ramirez

Publisher

Elsevier BV

Published

2021

Language

EN

Field

Medicine (Health Sciences)