2094 Single-Port Laparoscopic Hysterectomy without Uterine Manipulator in Early Cervical Cancer

Abstract

Video Objective To present the advanced single port laparoscopic hysterectomy without a uterine manipulator in early cervical cancer. Setting A 42-year-old woman(G2P2) undertook surgery diagnosed with cervical cancer in PAP smear and punch biopsy. She had no past medical history. There was neither evidence of definite burging mass in the cervix nor any metastasis in the preoperated abdominal computed tomographic imaging. Two ml (2.5 mg/mL) of ICG solution was prepared in a 10 ml syringe to inject directly into the cervix. We recorded video with 30° 10 mm scope equipped with a specific lens and light source emitting both visible and NIR light (Stryker 1588 AIM, Stryker Co., ABK, MI, USA). Interventions Under general anesthesia, we performed laparoscopic single port hysterectomy and both salpingectomy and sentinel lymph node biopsy. During the surgery, we didn't inserted both uterine manipulator and foley catheter. we used only the colpotomizer cup just before cutting the uterus. we also used a retrieval bag when removing the uterus from the abdominal cavity. Pathology revealed invasive squamous cell carcinoma and no sentinel lymph node metastasis. Conclusion We successfully performed the single port laparoscopic hysterectomy not using a uterine manipulator for the early cervical cancer without any complication and that would be helpfull reducing the risk of tumor reccurence.