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Robotic Transperitoneal Aortic Lymphadenectomy in Gynecologic Cancer: A New Robotic Surgical Technique and Review of the Literature

  • Gynecologic Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

Lymph node status is a prognostic factor for gynecologic cancer. We describe a new developing strategy for robotic transperitoneal aortic lymphadenectomy without relocating the robotic column or the patient.

Methods

Patients with histologically confirmed cervical cancer, early ovarian cancer, or endometrial carcinoma with suspected risk factors indicating aortic lymphadenectomy were eligible for the robotic transperitoneal aortic lymphadenectomy using the Da Vinci robotic system as part of the surgical treatment of gynecologic malignancies.

Results

The mean operating time was 224 min (range 160–300 min), and the mean console time for aortic lymphadenectomy was 43 min (range 30–75). The median hemoglobin fall was 1.3 g/dL range (0.8–2 g/dL), the median number of removed aortic lymph nodes was 12.5 (range 7–17), and the median length of the hospital stay was 2 days (range 1–4 days). We experienced an intraoperative complication, but no conversion to laparotomy was necessary. No patients received a blood transfusion.

Conclusions

This initial experience demonstrates the feasibility of robotic aortic lymphadenectomy with good accuracy and safety without relocating the robotic column or the patient.

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Acknowledgment

We thank the nursing staff for their assistance during robotic surgery, and Giuseppina Fusco for help preparing the article.

Conflict of interest

The authors report no conflicts of interest.

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Authors and Affiliations

  1. Gynecologic Oncologic Unit, National Cancer Institute “Regina Elena”, Rome, Italy

    Enrico Vizza MD, PhD, Emanuela Mancini MD, Ermelinda Baiocco MD, Cristina Vicenzoni MD, Monica Cimino MD & Stefano Sindico MD

  2. Department of Surgery, Section of Gynecology and Obstetrics, Tor Vergata University, Rome, Italy

    Lodovico Patrizi MD, PhD & Maria Saltari MD

  3. Gynecologic Oncology Unit, Catholic University, Campobasso, Italy

    Giacomo Corrado MD, PhD

Authors
  1. Enrico Vizza MD, PhD
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  2. Emanuela Mancini MD
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  3. Ermelinda Baiocco MD
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  4. Cristina Vicenzoni MD
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  5. Lodovico Patrizi MD, PhD
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  6. Maria Saltari MD
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  7. Monica Cimino MD
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  8. Stefano Sindico MD
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  9. Giacomo Corrado MD, PhD
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Corresponding author

Correspondence to Giacomo Corrado MD, PhD .

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Vizza, E., Mancini, E., Baiocco, E. et al. Robotic Transperitoneal Aortic Lymphadenectomy in Gynecologic Cancer: A New Robotic Surgical Technique and Review of the Literature. Ann Surg Oncol 19, 3832–3838 (2012). https://doi.org/10.1245/s10434-012-2411-6

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  • DOI: https://doi.org/10.1245/s10434-012-2411-6

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