Obstetrics & Gynecology Science  2017;60(1):110-114

doi:10.5468/ogs.2017.60.1.110

Laparoendoscopic single-site radical hysterectomy for early stage cervical cancer.

Ju Young PARK 1 ; Yoo Min KIM ; Yoo Young LEE ; Tae Joong KIM ; Jeong Won LEE ; Byoung Gie KIM ; Duk Soo BAE ; Chel Hun CHOI

Affiliations

+expand

Keywords

Radical hysterectomy; Single-site surgery; Uterine cervical neoplasms

Country

Republic of Korea

Language

English

Abstract

Technical developments have made laparoendoscopic single-site (LESS) surgery increasingly more feasible for treating gynecological conditions, including cancer. However, complex surgeries such as radical hysterectomy have rarely been performed with single-port access because of technical difficulties. The majority of the difficulties are due to the inefficient retraction of tissue during dissection. Here, we report a detailed description of LESS radical hysterectomy plus pelvic lymph node dissection that was successfully performed in two patients with stage IB1 cervical cancer. We used our expertise with LESS to perform space development as much as possible before the ligaments were resected. The oncologic clearance was comparable to that of conventional laparoscopic radical hysterectomy.