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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2017; 39(01): 35-40
DOI: 10.1055/s-0036-1597752
Case Report
Thieme-Revinter Publicações Ltda Rio de Janeiro, Brazil

Single-Site Robotic Radical Hysterectomy and Sentinel Lymphnode Biopsy in Cervical Cancer: A Case Report

Histerectomia radical robótica de portal único e biópsia de linfonodo sentinela: relato de caso
Alexandre Silva e Silva
1   Centro de Oncologia, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil
2   Department of Obstetrics and Gynecology, Instituto do Câncer do Estado de São Paulo (ICESP); Faculdade de Medicina da Universidade de São Paulo, SP, Brazil
,
Rodrigo Pinto Fernandes
1   Centro de Oncologia, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil
2   Department of Obstetrics and Gynecology, Instituto do Câncer do Estado de São Paulo (ICESP); Faculdade de Medicina da Universidade de São Paulo, SP, Brazil
,
Marcia Pereira de Araujo
1   Centro de Oncologia, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil
2   Department of Obstetrics and Gynecology, Instituto do Câncer do Estado de São Paulo (ICESP); Faculdade de Medicina da Universidade de São Paulo, SP, Brazil
,
João Paulo Mancusi de Carvalho
2   Department of Obstetrics and Gynecology, Instituto do Câncer do Estado de São Paulo (ICESP); Faculdade de Medicina da Universidade de São Paulo, SP, Brazil
,
Filomena Marino Carvalho
1   Centro de Oncologia, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil
2   Department of Obstetrics and Gynecology, Instituto do Câncer do Estado de São Paulo (ICESP); Faculdade de Medicina da Universidade de São Paulo, SP, Brazil
3   Departament of Pathology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
,
Giovani Mastrantônio Favero
1   Centro de Oncologia, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil
2   Department of Obstetrics and Gynecology, Instituto do Câncer do Estado de São Paulo (ICESP); Faculdade de Medicina da Universidade de São Paulo, SP, Brazil
4   Department of Advanced Gynecologic Surgery and Oncology, Asklepios Hospital, Hamburg, Germany
,
Jesus Paula Carvalho
1   Centro de Oncologia, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil
2   Department of Obstetrics and Gynecology, Instituto do Câncer do Estado de São Paulo (ICESP); Faculdade de Medicina da Universidade de São Paulo, SP, Brazil
› Author Affiliations
Further Information

Publication History

11 June 2016

17 November 2016

Publication Date:
30 December 2016 (online)

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Abstract

Robotic surgeries for cervical cancer have several advantages compared with laparotomic or laparoscopic surgeries. Robotic single-site surgery has many advantages compared with the multiport approach, but its safety and feasibility are not established in radical oncologic surgeries. We report a case of a Federation of Gynecology and Obstetrics (FIGO) stage IB1 cervical carcinoma whose radical hysterectomy, sentinel lymph node mapping, and lymph node dissection were entirely performed by robotic single-site approach. The patient recovered very well, and was discharged from the hospital within 24 hours.

Resumo

A cirurgia robótica para carcinoma do colo do útero apresenta vantagens quando comparada com cirurgias laparotômicas ou laparoscópicas. A cirurgia robótica de portal único tem muitas vantagens quando comparada com cirurgias de múltiplos acessos, porém a segurança e a viabilidade deste procedimento ainda não estão estabelecidas para cirurgias oncológicas radicais. Apresentamos um caso de carcinoma de colo do útero, tratado por histerectomia radical, identificação e biópsia de linfonodo sentinela e linfadenectomia pélvica realizada totalmente por cirurgia robótica de acesso único. A paciente recuperou-se bem e recebeu alta no primeiro dia pós-operatório.

Keywords

hysterectomy - cervical cancer - single-site robotic laparoscopy - lymphadenectomy - robotics - laparoendoscopic single-site surgery

Palavras-chave

histerectomia - câncer do colo do útero - laparoscopia robótica de sítio único - linfadenectomia - robótica - cirurgia laparoendoscópica de sítio único
 

  • References

  • 1 Galaal K, Bryant A, Fisher AD, Al-Khaduri M, Kew F, Lopes AD. Laparoscopy versus laparotomy for the management of early stage endometrial cancer. Cochrane Database Syst Rev 2012; (09) CD006655
    PubMedSearch in Google Scholar
  • 2 Shin JH, Howard FM. Abdominal wall nerve injury during laparoscopic gynecologic surgery: incidence, risk factors, and treatment outcomes. J Minim Invasive Gynecol 2012; 19 (04) 448-453
    CrossrefPubMedSearch in Google Scholar
  • 3 Sinno AK, Fader AN, Tanner III EJ. Single site robotic sentinel lymph node biopsy and hysterectomy in endometrial cancer. Gynecol Oncol 2015; 137 (01) 190
    CrossrefPubMedSearch in Google Scholar
  • 4 Yoon A, Yoo HN, Lee YY. , et al. Robotic single-port hysterectomy, adnexectomy, and lymphadenectomy in endometrial cancer. J Minim Invasive Gynecol 2015; 22 (03) 322
    CrossrefPubMedSearch in Google Scholar
  • 5 Tateo S, Nozza A, Del Pezzo C, Mereu L. Robotic single-site pelvic lymphadenectomy. Gynecol Oncol 2014; 134 (03) 631
    CrossrefPubMedSearch in Google Scholar
  • 6 Bogliolo S, Musacchi V, Cassani C, Babilonti L, Gardella B, Spinillo A. Robotic single-site technique allows pelvic lymphadenectomy in surgical staging of endometrial cancer. J Minim Invasive Gynecol 2015; 22 (04) 695-696
    CrossrefPubMedSearch in Google Scholar
  • 7 Puntambekar SP, Palep RJ, Puntambekar SS. , et al. Laparoscopic total radical hysterectomy by the Pune technique: our experience of 248 cases. J Minim Invasive Gynecol 2007; 14 (06) 682-689
    CrossrefPubMedSearch in Google Scholar
  • 8 Shazly SA, Murad MH, Dowdy SC, Gostout BS, Famuyide AO. Robotic radical hysterectomy in early stage cervical cancer: A systematic review and meta-analysis. Gynecol Oncol 2015; 138 (02) 457-471
    CrossrefPubMedSearch in Google Scholar
  • 9 Fagotti A, Bottoni C, Vizzielli G. , et al. Postoperative pain after conventional laparoscopy and laparoendoscopic single site surgery (LESS) for benign adnexal disease: a randomized trial. Fertil Steril 2011; 96 (01) 255-259.e2
    CrossrefPubMedSearch in Google Scholar
  • 10 Boruta DM, Fagotti A, Bradford LS. , et al. Laparoendoscopic single-site radical hysterectomy with pelvic lymphadenectomy: initial multi-institutional experience for treatment of invasive cervical cancer. J Minim Invasive Gynecol 2014; 21 (03) 394-398
    CrossrefPubMedSearch in Google Scholar
  • 11 Tergas AI, Fader AN. Laparoendoscopic single-site surgery (LESS) radical hysterectomy for the treatment of early stage cervical cancer. Gynecol Oncol 2013; 129 (01) 241-243
    CrossrefPubMedSearch in Google Scholar
  • 12 Sinno AK, Tanner III EJ. Robotic laparoendoscopic single site radical hysterectomy with sentinel lymph node mapping and pelvic lymphadenectomy for cervical cancer. Gynecol Oncol 2015; 139 (02) 387
    CrossrefPubMedSearch in Google Scholar
  • 13 Gungor M, Takmaz O, Afsar S, Ozbasli E, Gundogan S. Single-port robotic pelvic bulky lymph node resection: a case report. J Minim Invasive Gynecol 2016; 23 (07) 1030-1031
    CrossrefPubMedSearch in Google Scholar
  • 14 Corrado G, Cutillo G, Mancini E. , et al. Robotic single site versus robotic multiport hysterectomy in early endometrial cancer: a case control study. J Gynecol Oncol 2016; 27 (04) e39
    CrossrefPubMedSearch in Google Scholar
  • 15 Yoo HN, Kim TJ, Lee YY. , et al. Single-site robotic surgery in gynecologic cancer: a pilot study. J Gynecol Oncol 2015; 26 (01) 62-67
    CrossrefPubMedSearch in Google Scholar
  • 16 Bouquet de Joliniere J, Librino A, Dubuisson JB. , et al. Robotic surgery in gynecology. Front Surg 2016; 3: 26
    CrossrefPubMedSearch in Google Scholar
  • 17 Rossi EC, Ivanova A, Boggess JF. Robotically assisted fluorescence-guided lymph node mapping with ICG for gynecologic malignancies: a feasibility study. Gynecol Oncol 2012; 124 (01) 78-82
    CrossrefPubMedSearch in Google Scholar
  • 18 Khoury-Collado F, Glaser GE, Zivanovic O. , et al. Improving sentinel lymph node detection rates in endometrial cancer: how many cases are needed?. Gynecol Oncol 2009; 115 (03) 453-455
    CrossrefPubMedSearch in Google Scholar
  • 19 Holloway RW, Bravo RA, Rakowski JA. , et al. Detection of sentinel lymph nodes in patients with endometrial cancer undergoing robotic-assisted staging: a comparison of colorimetric and fluorescence imaging. Gynecol Oncol 2012; 126 (01) 25-29
    CrossrefPubMedSearch in Google Scholar
  • 20 Furukawa N, Oi H, Yoshida S, Shigetomi H, Kanayama S, Kobayashi H. The usefulness of photodynamic eye for sentinel lymph node identification in patients with cervical cancer. Tumori 2010; 96 (06) 936-940
    CrossrefPubMedSearch in Google Scholar
  • 21 Crane LM, Themelis G, Buddingh KT. , et al. Multispectral real-time fluorescence imaging for intraoperative detection of the sentinel lymph node in gynecologic oncology. J Vis Exp 2010; (44) 2225
    PubMedSearch in Google Scholar