Korean J Obstet Gynecol.  2010 Jun;53(6):540-545. 10.5468/kjog.2010.53.6.540.

A case of robotic laparoscopic radical trachelectomy

• Kim MK
• Choi CH
• Song TJ
• Park HS
• Lee YY
• Kim TJ
• Lee JW
• Lee JH
• Bae DS
• Kim BG

• KMID: 2273896
• DOI: http://doi.org/10.5468/kjog.2010.53.6.540

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.

Keyword

Robotic surgery; Cervical cancer; Radical trachelectomy

MeSH Terms

Female
Frozen Sections
Humans
Laparoscopy
Laparotomy
Ligaments
Lymph Node Excision
Lymph Nodes
Operative Time
Uterine Artery
Uterine Cervical Neoplasms

Figure

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  Figure 1 Development of the vesicouterine spaces.

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  Figure 2 Following dissection of right uterine artery and ureter. Ascending and descending branches of right uterine artery are visible.

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  Figure 3 Resection of the upper vagina.

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  Figure 4 Final view. Left ureter and preserved left uterine artery is visible.

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