Radical surgery preserves fertility for patients with early cervical cancer

Relevant statistics show that in the past two decades, the number of young women aged 25 to 34 suffering from invasive cervical cancer has increased by 77%, the incidence of women of childbearing age accounts for 10% to 15% of cervical cancer, and cervical cancer patients in their 20s are not uncommon in clinical practice. These patients often need to retain their fertility while undergoing treatment.

Traditional radical hysterectomy for cervical cancer requires extensive hysterectomy, which completely cuts off the desire of young women to have children. It not only causes great trauma to young patients physically and mentally, but also affects the stability of marriage and quality of life. How to achieve the same thorough effect as traditional radical hysterectomy for cervical cancer while preserving the patient's reproductive function has become a difficult problem that gynecological oncologists need to overcome.

In 1994, radical trachelectomy was first performed clinically, which is a radical trachelectomy performed transabdominally or vaginally plus a transabdominal pelvic lymphadenectomy. This method can completely remove cervical lesions while retaining the hope of fertility, becoming a new milestone in the conservative treatment of early cervical cancer. Since then, this procedure has gradually been recognized and accepted, and has been carried out in many centers. Cases of successful pregnancy and childbirth after surgery have also been reported one after another. Comprehensive clinical data related to postoperative pregnancy show that the total pregnancy rate of patients with early cervical cancer after surgery is 68.4%.

The implementation of a new type of radical cervical resection can shorten the patient's hospitalization and operation time, reduce intraoperative bleeding and blood transfusion opportunities, thereby reducing the occurrence of postoperative complications, alleviating the patient's pain and saving expenses. Because the reproductive function is preserved, the patient has the opportunity to have children, reducing the mental burden of the patient and his relatives, and also providing a basis for a harmonious sex life after surgery.