[Conization and radical vaginal trachelectomy with laparoscopic lymphadenectomy in fertility-sparing surgical treatment of XXXX ].

@entity1 @entity9216 @entity66 @entity5 @entity3846 @entity1544 @entity9217
INTRODUCTION: In the mid-80's and 90's of the last century uterine-sparing surgical treatment methods were proposed to @entity1 wishing to preserve their fertility. OBJECTIVES: The aim of the study was to assess practical application of conization or radical vaginal trachelectomy with laparoscopic lymphadenectomy in @entity1 with @entity1544 (FIGO stages IA and @entity3846 ) who want to retain their ability to procreate. Material and methods: A total of 119 @entity1 (aged 25-43 years) were included in the study Ninety-six @entity1 (60 - @entity9216 and 36 - @entity9217 ) were deemed eligible for conization and 23 @entity1 with stages @entity9217 and @entity3846 with neoplastic changes of <2cm in diameter were qualified for radical vaginal trachelectomy with laparoscopic lymphadenectomy RESULTS: Conization was not radical in 9 cases and these @entity1 were reoperated. A 5-year follow-up in @entity1 after @entity66 ( @entity66 ) in 3 @entity9216 cases (6.5%), and 2 @entity9217 cases (9.1%). In @entity1 with follow-up of <5 years, no recurrence was observed in 9 out of 10 A1 cases. Similarly there was no recurrence in 7 out of 9 lA2 cases. A 5-year follow-up in @entity1 after trachelectomy @entity66 ( @entity66 ) in 1 @entity9217 case (6.25%). There was no disease recurrence in 2 @entity9216 cases and 4 @entity3846 cases. Out of 8 subjects staged 1A2 with a follow-up of <5 years, no disease recurrence was observed in 7 (87.5%) @entity1 . During the same follow-up time, no disease recurrence was detected in 3 @entity1 staged @entity3846 . CONCLUSIONS: Proper uterine-sparing treatment with appropriate qualification guarantees adequate control of the treatment process in @entity1 with @entity5 stages IA and @entity3846 (<2 cm in diameter) according to FIGO.
