Abstract: Objective： To evaluate the surgical，oncologic，and obstetrical outcomes of total laparoscopic radical trachelectomy（TLRT） in patients with early-stage cervical cancer who want to preserve their fertility. Methods： Twenty-five patients with early-stage cervical cancer were treated by TLRT from January 2005 to December 2009. Data regarding operational time，blood loss， intraoperative-and post-operative complications， recurrence， and subsequent pregnancies were recorded. Results：The median age of the patients was 27 years（range， 22-34 years）. The median surgical time was 233 min（range， 200-320 min）. The median blood loss was 153 mL（range， 50-200 mL）， and the median length of hospitalization was 3.3 days （range， 2-4 days）. No intra-operative complications occurred；three patients had post-operative complications. The median follow-up time was 58 months（range， 36-82 months）， and no recurrences were observed. Eight patients attempted to conceive during the follow-up period， and four patients succeeded. Conclusions： TLRT is an effective and safe procedure for patients with early-stage cervical carcinoma who want to preserve fertility. A large prospective study is needed to confirm our data.

Key words: Uterine cervical neoplasms, Neoplasms, squamous cell, Fertility, Laparoscopes, Hysterectomy