Abstract:

Abdominal radical trachelectomy was usually utilized in ⅠB1 cervical cancer patients whose tumor ≥2cm since the procedure removed more parametrial tissue than the vaginal approach.We raised selection criteria for ART in such patients in 2011. In this article，we will further discuss issues regarding fertility-sparing surgery in ⅠB1 cervical cancer with tumor ≥2cm.

Key words: cervical tumor, fertility-sparing, abdominal radical trachelectomy

摘要：

腹式广泛性宫颈切除术（ART）因其宫旁切除根治度广，常被用于肿瘤较大的患者。复旦大学附属肿瘤医院于2011年提出ⅠB1期肿瘤直径≥2cm的子宫颈癌患者接受ART手术的适应证——“复旦标准”。此标准逐步被临床接受，但仍存在争议。文章就ⅠB1期肿瘤直径≥2cm患者ART术后安全性结局、微创广泛性宫颈切除术的应用以及新辅助化疗联合保育手术等问题进行阐述。

关键词: 宫颈肿瘤, 保留生育功能, 腹式广泛性宫颈切除术