로봇 복강경하 광범위 자궁경부절제술 1예
A case of robotic laparoscopic radical trachelectomy
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초록
성공적으로 이루어진 로봇을 이용한 광범위 자궁경부절제술의 한 예를 보고하고자 한다. 임신 기왕력 없는 조기 자궁경부암의 미혼 여성이 다빈치 로봇을 이용하여 광범위 자궁경부절제술 및 골반림프절절제술을 시행받았다. 골반 림프절 동결절편 조직검사에서 음성임을 확인한 후 자궁동맥의 상행 가지를 보전하면서 자궁방, 질 주위 조직, 천골자궁 인대를 절제하였고 질까지 절제하였다. 자궁경부의 절제와 질 봉합은 질식으로 시행되었다. 수술시간은 450분이 소요되었고 수술 중, 수술 후 합병증은 없었다. 광범위 자궁경부절제술에 있어서 로봇을 이용한 광범위 자궁경부절제술은 복강경 수술의 기술적 어려움과 개복술의 단점들을 해결하는 좋은 수술 방법이 될 것이다.
Abstract
To present a case of successful robotic assisted radical trachelectomy. A nulliparous woman with early cervical cancer underwent a laparoscopic radical trachelectomy and pelvic lymphadenectomy with the da Vinci robot (Intuitive Surgical Inc., Sunnyvale, CA). After the pelvic lymph nodes were found negative on frozen section, the parametria, paracolpia and uterosacral ligaments were dissected transabdominally sparing the ascending branches of the uterine arteries. Cervical transection and vaginal closure were performed transvaginally. Surgical time was 450 min. No perioperative complications were noted. Robotic laparoscopic radical trachelectomy may bridge the gap between laparotomy and laparoscopy for radical trachelectomy.
참고문헌 (24)
- Covens A, "Changes in the demographics and perioperative care of stage IA(2)", IB(1) cervical cancer over the past 16 years, 2001, pp.81, 133~137
- Diaz JP, "Oncologic outcome of fertility‐sparing radical trachelectomy versus radical hysterectomy for stage IB1 cervical carcinoma", Gynecol Oncol, 111, pp.255~260 (2008)
- Beiner ME, "Radical vaginal trachelectomy vs. radical hysterectomy for small early stage cervical cancer: a matched case‐control study", Gynecol Oncol, 110, pp.168~171 (2008)
- Marchiole P, "Oncological safety of laparoscopic‐ assisted vaginal radical trachelectomy (LARVT or Dargent's operation): a comparative study with laparoscopic‐ assisted vaginal radical hysterectomy (LARVH)", Gynecol Oncol, 106, pp.132~141 (2007)
- Shepherd JH, "Radical vaginal trachelectomy as a fertility‐sparing procedure in women with early‐stage cervical cancer‐cumulative pregnancy rate in a series of 123 women", BJOG, 113, pp.719~724 (2006)
- Burnett AF, "Radical vaginal trachelectomy and pelvic lymphadenectomy for preservation of fertility in early cervical carcinoma", Gynecol Oncol, 88, pp.419~423 (2003)
- Dursun P, "Radical vaginal trachelectomy (Dargent's operation): a critical review of the literature", Eur J Surg Oncol, 33, pp.933~941 (2007)
- Magrina JF, "Modified radical hysterectom in the treatment of early squamous cervical cancer", Gynecol Oncol, 72, pp.183~186 (1999)
- Persson J, "Robot‐assisted abdominal laparoscopic radical trachelectomy", Gynecol Oncol, 111, pp.564~567 (2008)
- Liang Z, "Laparoscopic radical trachelectomy or parametrectomy and pelvic and para‐aortic lymphadenectomy for cervical or vaginal stump carcinoma: report of six cases", Int J Gynecol Cancer, 16, pp.1713~1716 (2006)
- Boggess JF, "A case‐control study of robot‐assisted type III radical hysterectomy with pelvic lymph node dissection compared with open radical hysterectomy", Am J Obstet Gynecol, 199, pp.357~ (2008)
- Dargent D, "Laparoscopic vaginal radical trachelectomy: a treatment to preserve the fertility of cervical carcinoma patients", Cancer, 88, pp.1877~1882 (2000)
- Sonoda Y, "Initial experience with Dargent's operation: the radical vaginal trachelectomy", GynecolOncol, 108, pp.214~219 (2008)
- Abu‐Rustum NR, "Fertility‐sparing radical abdominal trachelectomy for cervical carcinoma: technique and review of the literature", Gynecol Oncol, 103, pp.807~813 (2006)
- Chuang LT, "Fertilitysparing robotic‐assisted radical trachelectomy and bilateral pelvic lymphadenectomy in early‐stage cervical cancer", J Minim Invasive Gynecol, 15, pp.767~770 (2008)
- Mettler L, "Robotic assistance in gynecological oncology", Curr Opin Oncol, 20, pp.581~589 (2008)
- Javier F. Magrina, "Robotic Surgery for Cervical Cancer", Yonsei Medical Journal, 49(6), pp.879~885 (2008), 연세대학교의과대학
- Burnett AF, "Robotic radical trachelectomy for preservation of fertility in early cervical cancer: case series and description of technique", J Minim Invasive Gynecol, 16, pp.569~572 (2009)
- Ramirez PT, "Safety and feasibility of robotic radical trachelectomy in patients with early‐stage cervical cancer", Gynecol Oncol, 116, pp.512~515 (2009)
- Reynolds RK, "Robot-assisted laparoscopic hysterectomy: technique and initial experience", Am J Surg, 191, pp.555~560 (2006)
- Nezhat C, "Robotic-assisted laparoscopy in gynecological surgery", JSLS, 10, pp.317~320 (2006)
- Kho RM, "Robotic hysterectomy: technique and initial outcomes", Am J Obstet Gynecol, 197, pp.113~ (2007)
- Nezhat CH, "Robot-assisted laparoscopic trachelectomy after supracervical hysterectomy", Fertil Steril, 90, pp.850~ (2008)
- Klemm P, "Does radical trachelectomy influence uterine blood supply?", Gynecol Oncol, 96, pp.283~286 (2005)