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Radical Trachelectomy
Dargent’s operation
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Described in 1994
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Laparoscopic
pelvic LND
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Vaginal removal of
cervix +
parametrial tissue
Criteria
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Strong fertility desire
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Age < 40
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Stage IA1, LVSI+
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Stage IA2 or IB1, LVSI- or +
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Tumor size < 2 cm
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Limited endocervical
involvement
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No evidence of LN+ or distant
metastatic disease
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Exclusion of unfavorable
histology (neuroendocrine)
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Skilled surgeon