Radical hysterectomy for early cervical cancer with preservation of fertility – a boon for young cervical cancer patients In the past two decades, with the improvement of gynecological screening technology and its widespread implementation, the incidence of early young cervical cancer patients has been on the rise year by year. According to statistics, the number of young women aged 25 to 34 years old suffering from invasive cervical cancer has increased by 77%, and the incidence rate of women of childbearing age accounts for 10% to 15% of cervical cancer. It is not uncommon to see clinical patients with cervical cancer in their 20s. Traditional radical cervical cancer surgery requires extensive removal of the uterus, which completely cuts off the fertility desire of young women and brings them great physical and psychological trauma, and even affects the stability of marriage and quality of life. Therefore, the traditional radical cervical cancer surgery has been challenged as never before. In 1994, Dargen first introduced radical hysterectomy, i.e. transabdominal or vaginal radical hysterectomy with transabdominal pelvic lymphadenectomy, which can achieve the same complete removal of the uterus as traditional radical cervical cervical cancer while preserving the patient’s fertility. This method has become a new milestone in the conservative treatment of early-stage cervical cancer by allowing complete removal of cervical lesions while preserving the hope of fertility. Since then, this procedure has been gradually recognized and accepted, and has been performed in several centers, and cases of successful postoperative pregnancy and delivery have been reported. Comprehensive postoperative clinical data related to pregnancy showed an overall pregnancy rate of 68.4%. The intraoperative and postoperative conditions of the two procedures were also compared, and the operative time, blood loss, transfusion ratio, and hospital days were reduced or decreased compared to the conventional group. The cancer-free survival rate was above 96% in both groups. There was no significant difference in the recurrence rate and survival rate between the two groups. In this regard, we took the lead in carrying out radical hysterectomy for early stage cervical cancer with preservation of reproductive function in the province since 2005, based on the successful international and domestic advanced experience, and have successfully performed many cases so far, and compared and analyzed their efficacy and safety. The new radical hysterectomy can shorten the patient’s hospital stay and operative time, reduce intraoperative bleeding and blood transfusion opportunities, thereby reducing the occurrence of postoperative complications, and reduce pain and savings for the patient. As the fertility function is preserved, it leaves a chance for patients to have children, relieves the mental burden of patients and relatives, and provides a basis for a harmonious sexual life after surgery. It truly brings a boon to the early stage young cervical cancer patients.