A case of robotic laparoscopic radical trachelectomy.

Kim, Moon Kyung; Choi, Chel Hun; Song, Tae Jong; Park, Hwang Shin; Lee, Yoo Young; Kim, Tae Joong; Lee, Jeong Won; Lee, Je Ho; Bae, Duk Soo; Kim, Byoung Gie

doi:2010.53.6.540

Obstet Gynecol Sci > Volume 53(6); 2010 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2010;53(6):540-545.
DOI: https://doi.org/10.5468/kjog.2010.53.6.540 Published online June 1, 2010.

A case of robotic laparoscopic radical trachelectomy.

Moon Kyung Kim, Chel Hun Choi, Tae Jong Song, Hwang Shin Park, Yoo Young Lee, Tae Joong Kim, Jeong Won Lee, Je Ho Lee, Duk Soo Bae, Byoung Gie Kim

Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. bksong.kim@samsung.com

Abstract

To present a case of successful robotic assisted radical trachelectomy. A nulliparous woman with early cervical cancer underwent a laparoscopic radical trachelectomy and pelvic lymphadenectomy with the da Vinci robot (Intuitive Surgical Inc., Sunnyvale, CA). After the pelvic lymph nodes were found negative on frozen section, the parametria, paracolpia and uterosacral ligaments were dissected transabdominally sparing the ascending branches of the uterine arteries. Cervical transection and vaginal closure were performed transvaginally. Surgical time was 450 min. No perioperative complications were noted. Robotic laparoscopic radical trachelectomy may bridge the gap between laparotomy and laparoscopy for radical trachelectomy.

Key Words: Robotic surgery, Cervical cancer, Radical trachelectomy