Trachelektomie : Indikationen und Operationsmethoden (Leitthema)

The trachelectomy was first described by Professor Dargent. He combined the endoscopic lymphadenectomy with the removal of the cervix uteri and the adherent parametria. Thus the patients were able to retain their reproductive possibilities. In the course of time an open abdominal, a laparoscopic and a robot supported procedure were described besides the vaginal access. At present the indication is drawn from carcinomas that are smaller than 2 cm and show no involvement of the lymphatic region. Oncologic safety, in this stage, is ensured by classic radical hysterectomy. Although severe pregnancy difficulties must be reckoned with, the rate of viable children is higher than 50%. But not every woman fulfils her potential desire for children. The overview describes the operative procedures in current use, the possible complications and their effects on fertility.