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Fertility/Pregnancy
2022-VA-596-ESGO Laparoscopic vaginal radical trachelectomy in the post LACC era: step by step surgical procedure
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  1. Benedetta Guani1,2,
  2. Vincent Balaya3,
  3. Fabrice Lecuru4 and
  4. Patrice Matehvet1
  1. 1CHUV, Lausanne, Switzerland
  2. 2HFR, Fribourg, Switzerland
  3. 3Hopital Foch, suresnes, France
  4. 4Hopital Curie, Paris, France

Abstract

Introduction/Background Therapeutic management of early stage cervical cancer is mainly based on surgery. Radical trachelectomy is a strategy to preserve the fertility of young patients with cervical cancer. In the ESGO and NCCN Guidelines, Radical Trachelectomy type B is indicated in case of cervical cancer stage 1B1. The prospective CONCERV study shows the safety of the simple conisation in early-stage cervical cancer <2 cm in case of stroll invasion <10 mm and no lymph vascular space invasion.Actually the indication to the radical trachelectomy remains:-Cervical cancer <2 cm-FIGO stage not more 1B1-Negative lymph node-Positive LVSI

The oncological safety of the minimally invasive approach has recently questioned by the international randomized LACC trial. This result have therefore renewed interest in the vaginal approach, associated to lymph node staging by laparoscopy.

Methodology We described the indication and the procedure in a video.

Results In this video we described the radical trachelectomy by the laparoscopic vaginal approach in 10 steps.

Abstract 2022-VA-596-ESGO Figure 1
Abstract 2022-VA-596-ESGO Figure 1

Conclusion This technique is a safe oncological procedure in the post-LACC era.

https://doi.org/10.1136/ijgc-2022-ESGO.369

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