REVIEW PAPER
Robotic radical abdominal trachelectomy in early-stage cervical cancer: safe removal of the cervix with underpressure colpotomizer – review report based on case study
1
NEO HOSPITAL, Krakow, Poland
2
LUX MED Onkologia, Oncologic Hospital, Warsaw, Poland
3
Andrzej Frycz Modrzewski Kraków University, Krakow, Poland
4
Department of Obstetrics and Gynaecology, Faculty Hospital Olomouc, Palacky University Olomouc, Olomouc, Czech Republic
Submission date: 2022-12-10
Final revision date: 2023-05-02
Acceptance date: 2023-05-04
Publication date: 2023-06-30
Medical Studies 2023;39(2):206-214
KEYWORDS
TOPICS
ABSTRACT
Fertility preservation is a procedure of conservative surgery which may be performed in the early stage of cervical cancer as radical trachelectomy. The aim of the study is to describe the first robotic radical trachelectomy in Poland with safe cervical sample extraction using an underpressure manipulator. Robotic abdominal trachelectomy was performed in a 42-year-old nullipara with squamous cell cervical carcinoma G2 using an underpressure manipulator. No complications were observed. Mobilization of the patient began the day after the surgical procedure. The long-term obstetric and oncologic outcome of this technique would be expected to match the outcome of the other radical trachelectomy techniques in the published literature. Using of an underpressure manipulator decreases the risk of cervical tumour spread during the surgery. To our knowledge, this is the first description of safe radical trachelectomy specimen extraction using an underpressure colpotomizer.
REFERENCES (46)
1.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018; 68: 394-424.
2.
Hota, PK, Panda N, Nayak B, Samantaray S. Geographical distribution of cervical cancer in Odisha: a 5-year retrospective study at a regional cancer center. South Asian J Cancer 2018; 7: 34-36.
3.
Cancer stat facts: cervical cancer, National Cancer Institute, Surveillance, Epidemiology, and End Result Program https://seer.cancer.gov/statfa...>(9/19/2019).
5.
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019, CA Cancer J. Clin 2019; 69: 7-34.
6.
Sindiani AM, Alshdaifat EH, Alkhatib A. Investigating cervical risk factors that lead to cytological and biopsy examination. Med Arch 2020; 74: 294-297.
7.
Stumbar S, Stevens M, Feld Z Cervical cancer and its precursors: a preventative approach to screening, diagnosis and management. Prim Care 2019; 46: 117-134.
8.
Bentivegna E, Maulard A, Pautier P, Chargari C, Gouy S, Morice P. Fertility results and pregnancy outcomes after conservative treatment of cervical cancer: a systematic review of the literature. Fertil Steril 2016; 106; 1195-1211.
9.
Dargent D, Brun JL, Roy M, Mathevest P, Remy I. La trachelectomie elargie (TE), une alternative a l’hysterectomie radical dans le traitment des cancers infiltrants developpes sur la face externe du col uterin. J Obstet Gynecol 1994; 2: 285-292.
10.
Cibula D, Ungar L, Palfalvi L, Bino B, Kuzel D. Laparoscopic abdominal radical trachelectomy. Gynecol Oncol 2005; 97: 707-709.
11.
Persson J, Kannisto P, Bossmar T. Robot-assisted abdominal laparoscopic radical trachelectomy. Gynecol Oncol 2008; 111: 564-567.
12.
Cibula D, Potter R, Planchamp F, Avall-Lundqvist E, Fischerova D, Meder C, Kohler C, Landoni F, Lax S, Lindegaard J, Mahantshetty U, Mathevet P, McCluggage G, McCormack M, Naik R, Nout R, Pignata S, Ponce J, Querleu D, Raspagliesi F, Rodolakis A, Tamussino K, Wimberger P, Raspollini M. The European Society of Gynaecological Oncology/European Society for Radiotherapy and Oncology/European Society of Pathology Guidelines for the Management of Patients with cervical cancer. Int J Gyn Cancer 2018; 28: 641-655.
13.
Matsuo K, Matsuzaki S, Mandelbaum RS, Matsushima K, Klar M, Grubbs BH, Roman LD, Wright JD. Association between hospital surgical volume and perioperative outcomes of fertility-sparing trachelectomy for cervical cancer: a national study in the United States. Gynecol Oncol 2020; 157: 173-180.
14.
Han L, Yang XY, Zheng A, Wang L, Chu YX, Wang Y. Systematic comparison of radical vaginal trachelectomy and radical hysterectomy in the treatment of early-stage cervical cancer. Int J Gynaecol Obstet 2011; 112: 149-153.
15.
Persson J, Imboden S, Reynisson P, Andersson B, Borg- feldt C, Bossmar T. Reproducibility and accuracy of robot-assisted laparoscopic fertility sparing radical trachelectomy. Gynecol Oncol 2012; 127: 484-488.
16.
Plante M, Gregoire J, Renaud MC, Sebastianelli A, Grondin K, Noel P, Roy M. Simple vaginal trachelectomy in early-stage low-risk cervical cancer: a pilot study of 16 cases and review of the literature. Int J Gynecol Cancer 2013; 23: 916-922.
17.
Vieira M, Rendon G, Munsell M, Echeverri L, Frumo- vitz M, Schmeler K, Pareja R, Escobar P, Dos Reis R, Ramirez P. Radical trachelectomy in early-stage cervical cancer: a comparison of laparotomy and minimally invasive surgery. Gynecol Oncol 2015; 138: 585-589.
18.
Kucukmetin A, Biliatis I, Ratnavelu N, Patel A, Cameron I, Ralte A, Naik R. Laparoscopic radical trachelectomy is an alternative to laparotomy with improved perioperative outcomes in patients with early-stage cervical cancer. Int J Gynecol Cancer 2014; 24: 135-140.
19.
Geisler JP, Orr CJ, Manahan KJ. Robotically assisted total laparoscopic radical trachelectomy for fertility sparing in stage IB1 adenosarcoma of the cervix. J Laparoendosc Adv Surg Tech A 2008; 18: 727-729.
20.
Saadi JM, Perrotta M, Orti R, Salvo G, Giavedoni M, Gogorza S, Testa R. Laparoscopic radical trachelectomy: technique, feasibility and outcomes. JSLS 2015; 19: e2013.00248.
21.
Baiocchi G, de Brot L, Faloppa C, Mantoan H, Duque MR, Badiglian-Filho L, Balieiro A, da Costa A.; Kumagai L. Is parametrectomy always necessary in early-stage cervical cancer? Gynecol Oncol 2017; 146: 16-19.
22.
Abu-Rustum NR, Sonoda Y, Black D, Levine DA, Chi DS, Barakat RR. Fertility-sparing radical abdominal trachelectomy for cervical carcinoma: technique and review of the literature. Gnecol Oncol 2006; 103: 807-813.
23.
Wenzel L, Dogan-Ates A, Habbal R, Berkowitz R, Goldstein DP, Bernstein M, Kluhsman BC, Osann K, Newlands E, Seckl MJ, Hancock B, Cella D. Defining and measuring reproductive cancers survivors. J Nat Cancer Inst 2005; 34: 94-98.
24.
Floyd J, Campbell S, Rauh-Hoin J, Woodard T. Fertility preservation in women with early-stage gynecological cancer: optimizing oncologic and reproductive outcomes. Int J Gynecol Cancer 2021; 31: 345-351.
25.
Lu Q, Liu C, Zhang Z. Total laparoscopic radical trachelectomy in the treatment of early-stage cervical cancer: review of technique and outcomes. Curr Opin Obstet Gynecol 2014; 26: 302-307.
26.
Dańska-Bidzińska A, Sobiczewski P, Bidziński M, Guj- ski M. Radical trachelectomy – retrospective analysis of our own case material. Ginekol Pol 2011; 82: 436-440.
27.
Shah JS, Jooya ND, Woodard TL, Ramirez P, Fleming ND, Frumovitz M. Reproductive counseling and pregnancy outcomes after radical trachelectomy for early-stage cervical cancer. J Gynecol Oncol 2019; 30: e45.
28.
Rob L, Skapa P, Robova H. Fertility-sparing surgery in patients with cervical cancer, Lancet Oncol 2011; 12: 192-200.
29.
Simjak P, Parizek A, Slama J. Prenatal care for woman after fertility-sparing surgery for cervical cancer. Ceska Gynekol 2020; 85: 422-429.
30.
Breban-Kehl M, Zaccarini F, Sanson C, Maulard A, Scherier S, Genestie C, Chargari C, Pautier P, Leary A, Balleyguier C, Morice P, Gouy S. Fertility preservation in cervical cancer, analysis of 30 years of practice and immersion in future developments. Gynecol Obstet Fertil Senol 2022; 50: 62-68.
31.
Ramirez P, Schmeler KM, Soliman P, Frumovitz M. Fertility preservation in patients with early cervical cancer: radical trachelectomy. Gynecol Oncol 2008; 110 (3 Suppl 2): 25-28.
32.
Ishioka S, Endo T, Hayashi T, Baba T, Umemura K, Saito T. Pregnancy-related complications after vaginal radical trachelectomy for early-stage invasive uterine cervical cancer. Int J Clin Oncol 2007; 12: 350-355.
33.
Basta P, Kolawa W, Stangel-Wójcikiewicz K, Schwarz J. Pregnancy and labor after fertility-sparing surgical management of cervical cancer. Ginekol Pol 2015; 86: 700-705.
34.
Muraji M, Sudo T, Iwasaki S, Ueno S, Wakahashi S, Yamaguchi S, Fujiwara K, Nishimura R. The effect of abdominal radical trachelectomy on ovarian reserve: serial changes in serum Anti-Mullerian Hormone levels. J Cancer 2012; 3: 191-195.
35.
Fanfani F, Landoni F, Gagliardi ML, Fagotti A, Preti E, Moruzzi MC, Monterossi G, Scambia G. Sexual and reproductive outcomes in early-stage cervical cancer patients after excisional cone as a fertility-sparing surgery: an Italian experience. J Reprod Infertil 2014; 15: 29-34.
36.
Chan J, Letourneau J, Salem W, Cil A, Chan SW, Chen LM, Rosen M. Sexual satisfaction and quality of life in survivors of localized cervical and ovarian cancers following fertility-sparing surgery. Gynecol Oncol 2015; 139: 141-147.
37.
Kampers J, Gerhardt E, Sibbertsen P, Flock T, Klapdor R, Hertel H, Jentschke M, Hillemanns P. Protective operative techniques in radical hysterectomy in early cervical carcinoma and their influence on disease-free and overall survival: a systematic review and metaanalysis of risk groups. Arch Gynecol Obstet 2021; 304: 577-587.
38.
Ramirez P, Frumovitz M, Pareja R, Lopez A,Vieira M, Ribeiro R, Buda A, Yan X, Shuzhong Y, Chetty N, Isla D, Tamura M, Zhu T, Robledo K, Gebski V, Stat M, Asher R, Be- han V, Nicklin J, Coleman R, Obermair A. Minimally invasive versus abdominal radical hysterectomy for cervical cancer. N Engl J Med 2018; 379: 1895-1904.
39.
Schmeler K, Pareja R, Blanco A, Fregnani J, Lopes A, Perrotta M, Tsunoda A, Cantu-de-Leon D, Ramondetta L, Machana J, Crotzer D, McNally O, Riege M, Scambia G, Carvajal J, Guilmi J, Rendon G, Ramalingam P, Fellman B, Coleman R, Frumovitz M, Ramirez P. ConCerv: a prospective trial of conservative surgery for low-risk early-stage cervical cancer. Int J Gynecol Cancer 2021; 31: 1317-1325.
40.
Chiva L, Zanagnolo V, Querleu D, Martin-Calvo N, Arevalo-Serrano J, Capilna M, Fagotti A, Kucukmetin A, Mom C, Chakalova G, Aliyev S, Malzoni M, Narducci F, Arencibia O, Raspagliesi F, Toptas T, Cibula D, Kaidaro- va D, Meydanii M, Tavares M, Golub D, Perrone A, Poka R, Tsolakidis D, Vujic G, Jedryka M, Zusterzeel P, Beltman J, Goffin F, Haidopoulos D, Haller H, Jach R, Yezho- va I, Berlev I, Bernardino M, Bharathan R, Lanner M, Maen- paa M, Sukhin V, Feron J, Fruscio R, Kukk K, Ponce J, Minguez J, Vazguez-Vicente D, Castellanos T, Chacon E, Alcazar J. SUCCOR study: an international European cohort observational study comparing minimally invasive surgery versus open abdominal radical hysterectomy in patients with stage IB1 cervical cancer. Int J Gynecol Cancer 2020; 30: 1269-1277.
41.
Köhler C, Hertel H, Hermann J, Marnitz S, Mallman P, Favero G, Plaikner A, Martus P, Gajda M, Schneider A. Laparoscopic radical hysterectomy with transvaginal closure of vaginal cuff – a multicenter analysis. Int J Gynecol Cancer 2019; 29: 845-850.
42.
Boyraz G, Karalok A, Basaran D, Turan T. Vaginal closure with EndoGIA to prevent tumor spillage in laparoscopic radical hysterectomy for cervical cancer. J Minim Invasive Gynecol 2019; 26: 602.
43.
Lago V, Tiermes M, Padilla-Iserte P, Matute L, Gurrea M, Domingo S. Protective maneuver to avoid tumor spillage during laparoscopic radical hysterectomy: vaginal cuff closure. J Minim Invasive Gynecol 2021; 28: 174-175.
44.
Deura I, Kanamori R, Nagasawa Y, Kuji S, Ohara T, Tozawa A, Shimada M, Suzuki N. A simple technique of vaginal cuff closure to prevent tumor cell spillage in laparoscopic radical hysterectomy for uterine cervical cancer. Asian J Endosc Surg 2021; 14: 665-668.
45.
Meng S, Li Z, Chen L, Yang X, Su P, Wang Y, Yi P. Laparoscopic radical hysterectomy for cervical cancer by pulling the round ligament without a uterine manipulator. Eur J Obstet Gynecol Reprod Biol 2021; 264: 31-35.
46.
Gallotta V, Conte C, Federico A, Vizzielli G, Alletti S, Tortorella L, Anchora L, Cosentino F, Chiantera V, Fagot- ti A, D’Indinosante M, Pelligra S, Scamba G, Ferrandina G. Robotic versus laparoscopic radical hysterectomy in early cervical cancer: a case matched control study. Eur J Surg Oncol 2018; 44: 754-759.
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| eISSN: | 2300-6722 |
| ISSN: | 1899-1874 |
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