Ceana H Nezhat1, Jocelyn D Rogers. 1. Atlanta Center for Special Minimally Invasive Surgery and Reproductive Medicine, Atlanta, Georgia 30342, USA. ceana@nezhat.com
Abstract
OBJECTIVE: To present a case of successful robotic assisted laparoscopic trachelectomy. DESIGN: Case report. SETTING: Tertiary care facility. PATIENT(S): A 40-year-old female with history of severe endometriosis and adhesions presented with persistent pain and bleeding after abdominal supracervical hysterectomy after failed attempt for laparoscopic-assisted vaginal hysterectomy and total abdominal hysterectomy. INTERVENTION(S): Robot-assisted laparoscopic trachelectomy and treatment of associated pelvic disease. MAIN OUTCOME MEASURE(S): Successful completion of robot-assisted trachelectomy. RESULT(S): There were no intraoperative or postoperative complications and minimal blood loss. At 10 months' follow-up the patient was doing well with resolution of her symptoms. CONCLUSION(S): Robotic surgery may bridge the gap between laparotomy and laparoscopy for trachelectomy in complicated cases.
OBJECTIVE: To present a case of successful robotic assisted laparoscopic trachelectomy. DESIGN: Case report. SETTING: Tertiary care facility. PATIENT(S): A 40-year-old female with history of severe endometriosis and adhesions presented with persistent pain and bleeding after abdominal supracervical hysterectomy after failed attempt for laparoscopic-assisted vaginal hysterectomy and total abdominal hysterectomy. INTERVENTION(S): Robot-assisted laparoscopic trachelectomy and treatment of associated pelvic disease. MAIN OUTCOME MEASURE(S): Successful completion of robot-assisted trachelectomy. RESULT(S): There were no intraoperative or postoperative complications and minimal blood loss. At 10 months' follow-up the patient was doing well with resolution of her symptoms. CONCLUSION(S): Robotic surgery may bridge the gap between laparotomy and laparoscopy for trachelectomy in complicated cases.
Authors: Pierre Collinet; Pierre Leguevaque; Rosa Maria Neme; Vito Cela; Peter Barton-Smith; Thomas Hébert; Sandy Hanssens; Hirotaka Nishi; Michelle Nisolle Journal: Surg Endosc Date: 2014-03-08 Impact factor: 4.584