Surgical Film Library-Fertility Sparing Radical Trachelectomy for Cervical Cancer

Video Transcription

Video Summary

The presentation details the C1 radical hysterectomy technique, developed for fertility-sparing treatment in early-stage cervical cancer. Key to the method is meticulous surgical anatomy knowledge, enabling preservation of uterine arteries and hypogastric nerves to maintain uterine blood flow and autonomic nerve function, thus reducing bladder, rectal, and sexual complications. The approach involves complete pelvic lymphadenectomy with frozen section analysis to decide on surgery continuation. The technique, introduced in 2003 and first performed in 2004, emphasizes radical dissection of the parametrium while preserving uterine and nerve structures. Patients are carefully selected based on FIGO staging, tumor size (<2 cm for candidates), and metastasis risk. Neoadjuvant chemotherapy combined with less radical surgery showed promising oncological safety and reproductive outcomes, including successful pregnancies. The method’s radicality compares favorably with traditional techniques, supporting its use as a standard for fertility-sparing surgery in selected patients. Tailored patient treatment remains crucial for optimal outcomes.

Asset Subtitle

Alejandro Soderini, Argentina

Meta Tag

Route Open

Skill Level Expert

Surgical Location Pelvis

Keywords

Open

Pelvis

Expert

C1 radical hysterectomy

fertility-sparing surgery

early-stage cervical cancer

uterine artery preservation

pelvic lymphadenectomy

neoadjuvant chemotherapy

Alejandro Soderini