Chuang Linus T, Lerner Dimitry L, Liu Connie S, Nezhat Farr R
Division of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Medicine, Mount Sinai School of Medicine, New York, New York 10029-6574, USA.
J Minim Invasive Gynecol. 2008 Nov-Dec;15(6):767-70. doi: 10.1016/j.jmig.2008.08.008.
A combined pelvic lymphadenectomy with radical vaginal trachelectomy is an alternative to radical hysterectomy in the treatment of young women with cervical cancer desiring fertility preservation. This technique requires advanced vaginal surgery skills not commonly acquired. In an attempt to simplify the procedure we preformed what we believe to be the first case of robotic-assisted radical trachelectomy. A 30-year-old woman, gravida 1, para 1, desiring fertility preservation was given the diagnosis of invasive adenocarcinoma on cervical cone excision. The patient was treated with robotic-assisted pelvic lymphadenectomy and radical trachelectomy. We hope robotic-assisted radical trachelectomy will become an option for select women with early-stage cervical cancer who desire fertility preservation.
对于希望保留生育能力的年轻宫颈癌女性患者，盆腔淋巴结清扫术联合根治性阴道宫颈切除术是根治性子宫切除术的一种替代方法。该技术需要先进的阴道手术技巧，而这并非普遍具备。为了简化手术过程，我们实施了我们认为的首例机器人辅助根治性宫颈切除术。一名30岁、孕1产1、希望保留生育能力的女性在宫颈锥切术后被诊断为浸润性腺癌。该患者接受了机器人辅助盆腔淋巴结清扫术和根治性宫颈切除术。我们希望机器人辅助根治性宫颈切除术将成为某些希望保留生育能力的早期宫颈癌女性的一种选择。
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