eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
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2/2023
vol. 39
 
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abstract:
Review paper

Robotic radical abdominal trachelectomy in early-stage cervical cancer: safe removal of the cervix with underpressure colpotomizer – review report based on case study

Magdalena Bizoń
1, 2
,
Maciej Olszewski
1, 2
,
Robert Balawender
1
,
Krzysztof Mawlichanów
1, 3
,
Radovan Pilka
1, 4

  1. NEO HOSPITAL, Krakow, Poland
  2. LUX MED Onkologia, Oncologic Hospital, Warsaw, Poland
  3. Andrzej Frycz Modrzewski Kraków University, Krakow, Poland
  4. Department of Obstetrics and Gynaecology, Faculty Hospital Olomouc, Palacky University Olomouc, Olomouc, Czech Republic
Medical Studies/Studia Medyczne 2023; 39 (2): 206–214
Online publish date: 2023/06/30
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Fertility preservation is a procedure of conservative surgery which may be performed in the early stage of cervical cancer as radical trachelectomy. The aim of the study is to describe the first robotic radical trachelectomy in Poland with safe cervical sample extraction using an underpressure manipulator. Robotic abdominal trachelectomy was performed in a 42-year-old nullipara with squamous cell cervical carcinoma G2 using an underpressure manipulator. No complications were observed. Mobilization of the patient began the day after the surgical procedure. The long-term obstetric and oncologic outcome of this technique would be expected to match the outcome of the other radical trachelectomy techniques in the published literature. Using of an underpressure manipulator decreases the risk of cervical tumour spread during the surgery. To our knowledge, this is the first description of safe radical trachelectomy specimen extraction using an underpressure colpotomizer.
keywords:

trachelectomy, cervical cancer, robotic surgery

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