SF031/#895 Single-port robotic hysterectomy after the previous trachelectomy. (4th December 2022)

• Record Type: Journal Article
• Authors: Choi, Boram; Lee, Keun Ho; Jung, Gyul
• Is Part Of: International journal of gynecological cancer. Volume 32(2022)Supplement 3
• Page Start: A255
• Page End: A256
• Publication Date: 2022-12-04
• Subjects: Generative organs, Female -- Cancer -- Periodicals; 616.99465
• DOI: 10.1136/ijgc-2022-igcs.591
• Languages: English
• ISSNs: 1048-891X

Abstract

Abstract : Introduction: Radical trachelectomy is the universal treatment for patients with early-stage cervical cancer desiring to maintain fertility. The mean recurrence rate after trachelectomy is 3.3~3.7%. We demonstrated a single-port robotic hysterectomy to a patient with a history of robotic trachelectomy. The condition of the uterus and other organs, recovery status, and the difficulty of reoperation can be reviewed. Description: A 32-year nulliparous with recurrence of cervical cancer received the single-port robotic hysterectomy with bilateral salpingectomy. 9 years ago, she had a multi-port robotic radical trachelectomy with pelvic lymphadenectomy for stage IA1 cervical cancer. In the first video, we described the multi-port robotic radical trachelectomy. In December 2021, her pap-smear revealed adenocarcinoma. In the second operation, we used the DaVinci SP system to perform the hysterectomy and bilateral salpingectomy. There was an adhesion between the uterus and the ovary due to the previous operation. The uterus and bladder had moderate adhesions and were carefully exfoliated. Upon completion of the colpotomy, the thread that had undergone cervical cerclage performed in the previous operation was confirmed. The subsequent procedures were like that of a typical hysterectomy. Conclusion/Implications: Single port robotic hysterectomy after the trachelectomy is a safe and effective approach for cervical cancer recurring patients. Finding the incision margin between the uterus isthmus and the upper vagina was difficult as there was adhesion between the uterus and the bladder, also due to the absence of the cervix of the uterus.