Morehouse School of Medicine, 720 Westview Drive Atlanta, GA 30310, USA.
Consultant Gynaecological Surgeon, West London Gynaecological Cancer Centre, Imperial College, London, UK.
Best Pract Res Clin Obstet Gynaecol. 2021 Sep;75:72-81. doi: 10.1016/j.bpobgyn.2021.01.011. Epub 2021 Feb 22.
In the last two decades, great strides have been made to treat cancer while sparing fertility for young women. This is at least partly in response to changing demographics, including delayed childbearing and fewer historically traditional couples. The trachelectomy has become emblematic in this endeavor. With comparable outcomes to hysterectomy and successful conceptions, trachelectomy utilization has increased over time. It is now a standard of care for many situations. While there are several approaches, (vaginal, laparoscopic, and robotic), the abdominal trachelectomy allows surgeons to overcome several limitations, such as patient anatomy, surgical experience, and resources (i.e. no robot) to provide women everywhere this revolutionary operation. In this chapter, we outline surgical techniques, outcomes, and other aspects of the abdominal trachelectomy.
在过去的二十年中，在治疗癌症的同时为年轻女性保留生育能力方面取得了重大进展。这至少部分是为了应对人口结构的变化，包括生育推迟和传统夫妻数量减少。在这方面，子宫颈管切除术已成为代表性的手术。随着与子宫切除术可比的结果和成功受孕，子宫颈管切除术的应用随着时间的推移而增加。它现在是许多情况下的护理标准。虽然有几种方法（阴道、腹腔镜和机器人），但腹部子宫颈管切除术使外科医生能够克服一些限制，如患者解剖结构、手术经验和资源（即没有机器人），为各地的女性提供这种革命性的手术。在这一章中，我们概述了腹部子宫颈管切除术的手术技术、结果和其他方面。
