Cervix BT - 2016

Radical Trachelectomy

 Dargent’s operation ◦ Described in 1994 ◦ Laparoscopic pelvic LND ◦ Vaginal removal of cervix + parametrial tissue

Criteria ◦ Strong fertility desire ◦ Age < 40 ◦ Stage IA1, LVSI+ ◦ Stage IA2 or IB1, LVSI- or + ◦ Tumor size < 2 cm ◦ Limited endocervical involvement ◦ No evidence of LN+ or distant metastatic disease ◦ Exclusion of unfavorable histology (neuroendocrine) ◦ Skilled surgeon

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