Department of Obstetrics and Gynecology, Newark Beth Israel Medical Center, Newark, New Jersey.
Nezhat Surgery for Gynecology/Oncology, Weill Cornell Medical College of Cornell University, Stony Brook University School of Medicine, Minimally Invasive Gynecologic Surgery and Robotics, NYU Winthrop Hospital, New York, New York.
J Minim Invasive Gynecol. 2019 Jan;26(1):31. doi: 10.1016/j.jmig.2018.03.014. Epub 2018 Mar 28.
To illustrate a robotic-assisted laparoscopic resection for cervicovaginal myomectomy.
Step-wise instruction using video and case report (Canadian Task Force classification III).
A tertiary referral center.
A 39-year-old woman.
Robotic-assisted laparoscopy resection of leiomyoma.
A 39-year-old woman, gravida 0, body mass index of 23.0 kg/m, with a known cervicovaginal myoma that in the past underwent uterine artery embolization, presented with recurrence of her severe abnormal vaginal bleeding. She was referred for surgical resection of the mass. Magnetic resonance imaging revealed a 5-cm posterior cervicovaginal leiomyoma. The patient wanted to preserve her reproductive organs. A total robotic procedure lasted 123 minutes, with an estimated blood loss of 100 mL. She was discharged uneventfully on the day 0 postoperatively. Pathology results showed a 37-g leiomyoma of the uterus. The patient presented at her 2-weeks postoperative visit with no more complaint of vaginal bleeding.
Robot-assisted laparoscopic surgery is a feasible approach for cervicovaginal myoma with minimal complications.
说明机器人辅助腹腔镜宫颈阴道肌瘤切除术。
使用视频和病例报告的逐步指导（加拿大任务组分类 III）。
三级转诊中心。
一名 39 岁女性。
机器人辅助腹腔镜下子宫肌瘤切除术。
一名 39 岁女性，初产妇，体重指数为 23.0kg/m，患有已知的宫颈阴道肌瘤，曾接受过子宫动脉栓塞术，因严重异常阴道出血复发而就诊。她被转介进行肿块切除术。磁共振成像显示有一个 5 厘米的宫颈阴道后肌瘤。患者希望保留其生殖器官。总机器人手术持续 123 分钟，估计失血量为 100 毫升。她在术后 0 天顺利出院。病理结果显示子宫有一个 37 克的平滑肌瘤。患者在术后 2 周就诊时，阴道出血症状已消失。
机器人辅助腹腔镜手术是治疗宫颈阴道肌瘤的一种可行方法，并发症少。
