ABSTRACT
With relatively short-term follow-up, the pooled published recurrence and death rates (4.2% and 2.8%, respectively) following radical vaginal trachelectomy appear comparable to the traditional radical abdominal hysterectomy (10). Moreover, a 70% pregnancy rate has been described in women trying to conceive (10). With a radical abdominal trachelectomy, the parametrial resection is identical to the traditional type III radical hysterectomy. Oncologic outcomes should also be comparable; however, longer follow-up with a larger patient population is needed. A recent international series of abdominal trachelectomy by Wethington et al. described excellent oncologic outcomes and fertility similar to what we expect from the radical vaginal approach (11).
