Article Text
Abstract
Introduction This study aimed to gain a comprehensive understanding of the surgical, oncologic, and fertility outcomes of patients who have undergone radical trachelectomy (RT) in treatment of early-stage cervical cancer at our institution.
Methods A retrospective analysis of 21 patient records was conducted of patients treated at our institution from 3 December 2010 to 23 February 2023. Data was extracted for patient demographics, surgical procedures, intra-operative and peri-operative complications, oncologic, and fertility outcomes. Data was summarized using counts, percentages, and measures of central tendency and dispersion.
Results The study population had a mean age of 33.5 years (range 22-49). All 21 patients (100%) underwent radical trachelectomy. The perioperative outcomes were favourable, with the majority (76.2%) having a same-day surgery and low complication rates. The average estimated intraoperative blood loss during the procedure was 295 mL. Long-term issues included cervical stenosis (9.5%), pelvic pain (9.5%), and complications requiring additional operations such as cerclage removal (14.3%). Half of patients attempting pregnancy achieved conception, and 66.7% of those had live births. Two patients experienced disease recurrence and underwent treatment, including radiation and surgery. At the final follow-up, all patients were alive.
Conclusion/Implications The oncologic and fertility outcomes were consistent with other institutions’ experiences. The findings on the outcomes and complications will enhance patient counselling. Combined with a planned qualitative study, the results will inform the development of comprehensive educational resources to ensure future patients have access to information about surgical, oncologic, and fertility outcomes, as well as guidance on managing expectations and accessing support services.