Robotic-assisted laparoscopic radical hysterectomy (Piver type III) with pelvic node dissection--case report

Area of Science:

• Gynecologic Oncology
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Cervical cancer treatment often involves radical hysterectomy.
• Robotic-assisted surgery offers potential advantages in precision and minimally invasive approaches.
• Piver type III radical hysterectomy is a complex procedure for advanced cervical cancer.

Observation:

• A case report of a 43-year-old woman with Stage Ib1 cervical carcinoma.
• The patient underwent a robotic-assisted radical hysterectomy (Piver type III) with bilateral pelvic lymph node dissection using the da Vinci system.
• The procedure was successfully completed, with the patient discharged on postoperative day 4.

Findings:

• Robotic-assisted radical hysterectomy (Piver type III) is feasible.
• The da Vinci system allows for precise radical dissection compared to conventional laparoscopy.
• Four months post-surgery, the patient was asymptomatic with normal status, despite developing bilateral lymphocysts.

Implications:

• Robotic surgery may enhance precision in radical hysterectomy for cervical cancer.
• This approach could offer a minimally invasive alternative for complex gynecologic procedures.
• Further research is warranted to evaluate long-term outcomes and compare robotic versus conventional methods.