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

A case of robotic laparoscopic radical trachelectomy

Affiliations
  • 1Department 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.

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

  • Figure 1 Development of the vesicouterine spaces.

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

  • Figure 3 Resection of the upper vagina.

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


Reference

1. Covens A, Rosen B, Murphy J, Laframboise S, DePetrillo AD, Lickrish G, et al. Changes in the demographics and perioperative care of stage IA(2)/IB(1) cervical cancer over the past 16 years. Gynecol Oncol. 2001. 81:133–137.
2. Diaz JP, Sonoda Y, Leitao MM, Zivanovic O, Brown CL, Chi DS, et al. Oncologic outcome of fertility-sparing radical trachelectomy versus radical hysterectomy for stage IB1 cervical carcinoma. Gynecol Oncol. 2008. 111:255–260.
3. Beiner ME, Hauspy J, Rosen B, Murphy J, Laframboise S, Nofech-Mozes S, et al. Radical vaginal trachelectomy vs. radical hysterectomy for small early stage cervical cancer: a matched case-control study. Gynecol Oncol. 2008. 110:168–171.
4. Marchiole P, Benchaib M, Buenerd A, Lazlo E, Dargent D, Mathevet P. Oncological safety of laparoscopic-assisted vaginal radical trachelectomy (LARVT or Dargent's operation): a comparative study with laparoscopic-assisted vaginal radical hysterectomy (LARVH). Gynecol Oncol. 2007. 106:132–141.
5. Shepherd JH, Spencer C, Herod J, Ind TE. Radical vaginal trachelectomy as a fertility-sparing procedure in women with early-stage cervical cancer-cumulative pregnancy rate in a series of 123 women. BJOG. 2006. 113:719–724.
6. Burnett AF, Roman LD, O'Meara AT, Morrow CP. Radical vaginal trachelectomy and pelvic lymphadenectomy for preservation of fertility in early cervical carcinoma. Gynecol Oncol. 2003. 88:419–423.
7. Dursun P, LeBlanc E, Nogueira MC. Radical vaginal trachelectomy (Dargent's operation): a critical review of the literature. Eur J Surg Oncol. 2007. 33:933–941.
8. Magrina JF, Goodrich MA, Lidner TKWeaver AL, Cornella JL, Podratz KC. Modified radical hysterectom in the treatment of early squamous cervical cancer. Gynecol Oncol. 1999. 72:183–186.
9. Persson J, Kannisto P, Bossmar T. Robot-assisted abdominal laparoscopic radical trachelectomy. Gynecol Oncol. 2008. 111:564–567.
10. Liang Z, Xu H, Chen Y, Li Y, Chang Q, Shi C. Laparoscopic radical trachelectomy or parametrectomy and pelvic and para-aortic lymphadenectomy for cervical or vaginal stump carcinoma: report of six cases. Int J Gynecol Cancer. 2006. 16:1713–1716.
11. Boggess JF, Gehrig PA, Cantrell L, Shafer A, Ridgway M, Skinner EN, et al. A case-control study of robot-assisted type III radical hysterectomy with pelvic lymph node dissection compared with open radical hysterectomy. Am J Obstet Gynecol. 2008. 199:357.e1–357.e7.
12. Dargent D, Martin X, Sacchetoni A, Mathevet P. Laparoscopic vaginal radical trachelectomy: a treatment to preserve the fertility of cervical carcinoma patients. Cancer. 2000. 88:1877–1882.
13. Sonoda Y, Chi DS, Carter J, Barakat RR, Abu-Rustum NR. Initial experience with Dargent's operation: the radical vaginal trachelectomy. Gynecol Oncol. 2008. 108:214–219.
14. Abu-Rustum NR, Sonoda Y, Black D, Levine DA, Chi DS, Barakat RR. Fertility-sparing radical abdominal trachelectomy for cervical carcinoma: technique and review of the literature. Gynecol Oncol. 2006. 103:807–813.
15. Chuang LT, Lerner DL, Liu CS, Nezhat FR. Fertility-sparing robotic-assisted radical trachelectomy and bilateral pelvic lymphadenectomy in early-stage cervical cancer. J Minim Invasive Gynecol. 2008. 15:767–770.
16. Mettler L, Schollmeyer T, Boggess J, Magrina JF, Oleszczuk A. Robotic assistance in gynecological oncology. Curr Opin Oncol. 2008. 20:581–589.
17. Magrina JF, Zanagnolo VL. Robotic surgery for cervical cancer. Yonsei Med J. 2008. 49:879–885.
18. Burnett AF, Stone PJ, Duckworth LA, Roman JJ. Robotic radical trachelectomy for preservation of fertility in early cervical cancer: case series and description of technique. J Minim Invasive Gynecol. 2009. 16:569–572.
19. Ramirez PT, Schmeler KM, Malpica A, Soliman PT. Safety and feasibility of robotic radical trachelectomy in patients with early-stage cervical cancer. Gynecol Oncol. 2009. 116:512–515.
20. Reynolds RK, Advincula AP. Robot-assisted laparoscopic hysterectomy: technique and initial experience. Am J Surg. 2006. 191:555–560.
21. Nezhat C, Saberi NS, Shahmohamady B, Nezhat F. Robotic-assisted laparoscopy in gynecological surgery. JSLS. 2006. 10:317–320.
22. Kho RM, Hilger WS, Hentz JG, Magtibay PM, Magrina JF. Robotic hysterectomy: technique and initial outcomes. Am J Obstet Gynecol. 2007. 197:113.e1–113.e4.
23. Nezhat CH, Rogers JD. Robot-assisted laparoscopic trachelectomy after supracervical hysterectomy. Fertil Steril. 2008. 90:850.e1–850.e3.
24. Klemm P, Tozzi R, Kohler C, Hertel H, Schneider A. Does radical trachelectomy influence uterine blood supply? Gynecol Oncol. 2005. 96:283–286.
Full Text Links
  • KJOG
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr