Journal List > Korean J Obstet Gynecol > v.53(6) > 1006432

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Kim, Choi, Song, Park, Lee, Kim, Lee, Lee, Bae, and Kim: A case of robotic laparoscopic radical trachelectomy
Case Report
Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(6): 540-545.

Published online: 30 June 2010

DOI: https://doi.org/10.5468/kjog.2010.53.6.540

A case of robotic laparoscopic radical trachelectomy

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

Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Corresponding author (bksong.kim@samsung.com)

Received 8 April 2010       Accepted 27 April 2010

Copyright © 2010 Korean Society of Obstetrics and Gynecology

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.

Keywords: Robotic surgery, Cervical cancer, Radical trachelectomy

Figures and Tables

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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