PT - JOURNAL ARTICLE AU - Blanca Segarra-Vidal AU - Jan Persson AU - Henrik Falconer TI - Radical trachelectomy AID - 10.1136/ijgc-2020-001782 DP - 2021 Jul 01 TA - International Journal of Gynecologic Cancer PG - 1068--1074 VI - 31 IP - 7 4099 - http://ijgc.bmj.com/content/31/7/1068.short 4100 - http://ijgc.bmj.com/content/31/7/1068.full SO - Int J Gynecol Cancer2021 Jul 01; 31 AB - Radical trachelectomy is the ‘cornerstone’ of fertility-sparing surgery in patients with early-stage cervical cancer wishing to preserve fertility. Growing evidence has demonstrated the oncologic safety and subsequent favorable pregnancy outcomes in well-selected cases. In the absence of prospective trials, the decision on the appropriate surgical approach (vaginal, open, or minimally invasive surgery) should be based on local resources and surgeons’ preferences. Radical trachelectomy has the potential to preserve fertility in a large proportion of women with early-stage cervical cancer. However, prematurity and premature rupture of membranes are common obstetric complications after radical trachelectomy for cervical cancer. A multidisciplinary approach is crucial to optimize the balance between oncologic and obstetric outcomes. The purpose of this review is to provide an updated overview of the technical, oncologic, and obstetric aspects of radical trachelectomy.