1155 Robotic Laparoendoscopic Single-Site Radical Hysterectomy and Pelvic Lymphadenectomy with Conventional Surgical Instruments in Cervical Cancer

Abstract

Video Objective To describe and demonstrate the feasibility and safety of robotic laparoendoscopic single-site radical hysterectomy and pelvic lymphadenectomy with conventional robotic surgical instruments. Setting A university hospital. Interventions Robotic laparoendoscopic single-site radical hysterectomy and pelvic lymphadenectomy with conventional robotic surgical instruments. All of the interventions were performed using a da Vinci Si surgical system and all the surgery instrument was conventional robotic instruments. A uterine manipulator and an indwelling catheter (Foley catheter) were used. The patient was in the Trendelenburg position, and the robot was placed between her legs. By adopting the principle of the chopstick technique for R-LESS, a 30° robotic lens was placed in the upward configuration to reduce collision and achieve a better view. Conclusion Our preliminary experience has demonstrated that with experienced laparoscopic skills, R-LESS with the da Vinci Si system is a feasible and safe surgical approach for performance of radical hysterectomy and pelvic lymphadenectomy with conventional robotic surgical instruments. Further studies with greater number of patients in multiple settings will help us to fully elucidate the role of da Vinci Si surgical system in single-site gynecologic surgery.