In gynecologic oncology, trachelectomy, also called cervicectomy, is a surgical removal of the uterine cervix.
This operation was pioneered by the renowned French Obstetrician-Gynecologist Surgeon, Daniel Dargent (1937–2005), who performed it for the 1st time in 1993.
[4] A simple trachelectomy refers to the removal of the cervix; this can be considered to be a very large conization procedure.
[5] Radical trachelectomy is considered to be the optimal treatment for women of age ≤40 years with a desire to preserve fertility and stage IA2 or mild stage IB1 disease; more specifically, it is deemed appropriate when the disease consists of a tumour less than or equal to 2 cm in largest dimension and has not spread to lymph nodes.
However, it appears that cancer recurrence and death are similar when compared to standard treatments (radical hysterectomy and radiation).