9266GYN FERTILITY-SPARING ROBOTIC ASSISTED TRACHELECTOMY & BILATERAL PELVIC LYMPHADENECTOMY IN…

January 28, 2010 by: admin


TITLE: Fertility-Sparing Robotic-Assisted Radical Trachelectomy as well as Bilateral Pelvic Lymphadenectomy in Early Stage Cervical Cancer Objective: To spell out the box of robotic-assisted in advance trachelectomy in the studious with invasive adenocarcinoma of the cervix. Methods: This 30-year-old, para-1 lady was diagnosed with adenocarcinoma in situ of the cervix in an endocervical sarcoma when she presented but censure to her postpartum visit. She was the nonsmoker with no story of aberrant Pap smears. She subsequently underwent the cold blade conization which suggested invasive adenocarcinoma of the cervix with lymphovascular invasion. Endocervical curettage as well as endometrial biopsy were benign. Pelvic hearing suggested the theatre IB1 adenocarcinoma of the cervix. All options for government were reviewed, as well as the studious voiced the clever enterprise for flood provident surgery. Results: She underwent the robotic-assisted in advance trachelectomy as well as shared pelvic lymphadenectomy to provide her early theatre cervical cancer. A polyethylene cerclage was placed during the stop of the procedure. Her estimated red blood detriment was 200cc, as well as she suffered no postoperative complications. She resumed the normal menses 4 weeks postoperatively. Conclusions: This represents the initial box of the studious with early cervical adenocarcinoma managed with robotic-assisted in advance trachelectomy as well as pelvic lymphadenectomy. This technique combines the value of open as well as laparoscopic procedures with the informed fundamental approach, increasing magnification, as well as the higher inventiveness of robotic surgery. We hope, with fast acceptance of robotic operation in gynecologic oncology, robotic in advance trachelectomy will have flood provident options the some-more permitted choice for name women with early theatre cervical cancer who enterprise flood preservation. Abs# 9266GYN AUTHORS: Linus Chuang, MD, Connie Liu, MD, Dimitry Lerner, MD, Farr Nezhat, MD

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