Uterine Artery Sparing Robotic Radical Trachelectomy and Pelvic Lymphadenectomy in Patients with Early-Stage Cervical Cancer

Abstract

This video demonstrate techniques of fertility sparing operation for cervical cancer patient, uterine artery sparing total laparoscopic radical trachelectomy using by da Vinci Robotic system. The first Objectives of this video is to demonstrate techniques about both uterine artery sparing result in better blood flow to endometrium, the second is to display adequate dissection line of isthmus, the third is nerve sparing method for better quality of life in young patient. Last is robotic re-anastomosis technique. This case is 27 years old single women, cervical cancer stage IB1 adenocarcinoma. Right uterine artery is preserved but deeper uterine veins are identified and dissected by fine delicate robotic bipolar forceps and scissors. We can preserve right uterine artery to isthmic area which divide descending and ascending branches. And then we can preserve inferior hypogastric plexus and hypogastric nerve. This type of complex operations can be by Robotic system more easily.