摘要
Objective. To report the obstetrical results following vaginal radical trachelectomy (VRT), a fertility-preserving surgery in the treatment of early-stage cervical cancer. Methods. Retrospective review of our first 72 patients treated by a laparoscopic pelvic lymphadenectomy followed by a VRT from October 1991 to October 2003 with regards to their reproductive function. Results. Patients’ median age was 32 years old (21-42) and 53 (74% ) were nulligravida. A total of 50 pregnancies occurred in 31 women. The majority (66% ) had only one pregnancy, 19% had 2 pregnancies and 16% had 3 pregnancies or more. The rate of first trimester miscarriage was 16% , the rate of second trimester miscarriage was (4% ) and 2 women (4% ) elected to have pregnancy termination. A total of 36 pregnancies (72% ) reached the third trimester. Of those, 3 (8% ) ended prematurely at < 32 weeks gestation, 5 (14% )-delivered between 32 and 36 weeks and 28 (78% ) delivered at term ( > 37 weeks). One newborn died of neonatal sepsis from E. coli infection and one died from cardiac malformation (trisomy-18). Seven patients (10% ) had infertility problems: 3 from ovulatory causes of which 2 successfully conceived with IVF, one from endometriosis and low sperm count and 3 from probable cervical cause of which one conceived with IUI. One patient had a twin pregnancy following IVF and elected to have embryo reduction and subsequently delivered at 37 weeks. Conclusion. Based on our experience, the obstetrical results following VRT for early-stage cervical cancer are very encouraging. The majority of women can anticipate to conceive spontaneously and deliver near term.
Objective. To report the obstetrical results following vaginal radical trachelectomy (VRT), a fertility-preserving surgery in the treatment of early-stage cervical cancer. Methods. Retrospective review of our first 72 patients treated by a laparoscopic pelvic lymphadenectomy followed by a VRT from October 1991 to October 2003 with regards to their reproductive function. Results. Patients' median age was 32 years old (21-42) and 53 (74% ) were nulligravida. A total of 50 pregnancies occurred in 31 women. The majority (66% ) had only one pregnancy, 19% had 2 pregnancies and 16% had 3 pregnancies or more. The rate of first trimester miscarriage was 16% , the rate of second trimester miscarriage was (4% ) and 2 women (4% ) elected to have pregnancy termination. A total of 36 pregnancies (72% ) reached the third trimester. Of those, 3 (8% ) ended prematurely at < 32 weeks gestation, 5 (14% )-delivered between 32 and 36 weeks and 28 (78% ) delivered at term ( > 37 weeks). One newborn died of neonatal sepsis from E. coli infection and one died from cardiac malformation (trisomy-18). Seven patients (10% ) had infertility problems: 3 from ovulatory causes of which 2 successfully conceived with IVF, one from endometriosis and low sperm count and 3 from probable cervical cause of which one conceived with IUI. One patient had a twin pregnancy following IVF and elected to have embryo reduction and subsequently delivered at 37 weeks. Conclusion. Based on our experience, the obstetrical results following VRT for early-stage cervical cancer are very encouraging. The majority of women can anticipate to conceive spontaneously and deliver near term.
