[Laparoscopically assisted radical vaginal trachelectomy--first attempt]

To introduce in the gynecological oncological practice in the country the technique of Laparoscopically Assisted Radical Vaginal Trachelectomy (LARVT) for treatment of uterine cervix early stage carcinoma in selected group of women, who want to preserve their fertility.

The authors present one case of 31-years old patient with squamous cell uterine cervix carcinoma in IB1 stage and great desire for pregnancy, who underwent radical trachelectomy with laparoscopic lymph node dissection and transposition of the ovaries. LARVT technique is described.

The duration of the surgical intervention is 315 minutes, the blood loss--240 mi. No intra- and post-operative complications are registered. LARVT technique is similar to LARVH one. Contrary to LARVH in LARVT the round ligaments and uterine arteries are preserved. There are differences too in the approach to the ureters.

LARVT should be performed by gynecologists experienced in oncological surgery, abdominal pelvic and laparoscopic lymphadenectomy with the clear awareness that this technique is not standard.