IMR Press / EJGO / Volume 32 / Issue 6 / pii/1630981976515-1574276455

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Robotically-assisted laparoscopic radical parametrectomy and radical vaginectomy
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1 Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Toledo, OH (USA)
Eur. J. Gynaecol. Oncol. 2011, 32(6), 674–676;
Published: 10 December 2011
Abstract

Background: Radical parametrectomy is a technically challenging operation used for women found to have occult cervix cancer after a hysterectomy for benign reasons. A similar operation, radical vaginectomy, is rarely performed because of the its technical difficulty in getting adequate margins without an attached uterus. Case Reports: A 41-year-old woman was found to have a presumed surgical Stage IB1 squamous cell carcinoma of the cervix at time of surgery for uterine prolapse. The patient was offered multiple options of surgery and chemoradiation. A second case, a 55-year-old woman, was found to have 1 cm vaginal cancer nine years after a total vaginal hysterectomy for carcinoma in situ of the cervix. She was also offered chemoradiation versus surgery. For the robotically- assisted laparoscopic radical parametrectomy operating time was 186 minutes with an estimated blood loss of 250 ml. For the robotically-assisted laparoscopic radical vaginectomy operating time was 154 minutes with an estimated blood loss of 150 ml. Neither patient had a hospitalization over 24 hours. There were no intraoperative or postoperative complications. Conclusions: Robotically-assisted laparoscopic radical paremetrectomy and vaginectomy are both technically feasible procedures.
Keywords
Radical parametrectomy
Laparoscopic
Cervical cancer
Robotics
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