Bartos P, Zelenka Z, Popelka P
Oddĕlení operacní gynekologie a minimálnĕ invazivní chirurgie, Nemocnice Na Homolce, Praha.
Ceska Gynekol. 2000 Nov;65(6):437-42.
In recent years a new less radical methods in the treatment of early cervical carcinoma has been introduced. The radical trachelectomy with laparoscopic pelvic lymphadenectomy represents one of these options. This procedure is special in that it not only treats the cervical cancer in acceptable oncological fashion but at the same time preserves the fertility potential of the patients. Thus, this surgery represents a midway point in between conisation and radical hysterectomy. Based on our initial experience in this study the technique of radical trachelectomy is analysed in detail and at the same time the current literature on the subject is reviewed. We conclude that after careful selection of the patients this more conservative approach leads to the same results comparable to classical radical surgery.
近年来，一种治疗早期宫颈癌的新的、较为保守的方法被引入。根治性宫颈切除术联合腹腔镜盆腔淋巴结清扫术就是其中一种选择。该手术的特别之处在于，它不仅能以可接受的肿瘤学方式治疗宫颈癌，同时还能保留患者的生育能力。因此，这种手术是锥切术和根治性子宫切除术之间的一个中间点。基于我们在本研究中的初步经验，对根治性宫颈切除术的技术进行了详细分析，同时对该主题的现有文献进行了综述。我们得出结论，在仔细选择患者后，这种更为保守的方法能产生与传统根治性手术相当的效果。
