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. 2015 Jul;26(3):222-6.
doi: 10.3802/jgo.2015.26.3.222.

Robotic high para-aortic lymph node dissection with high port placement using same port for pelvic surgery in gynecologic cancer patients

Tae Joong Kim  1 , Gun Yoon  2 , Yoo Young Lee  1 , Chel Hun Choi  1 , Jeong Won Lee  1 , Duk Soo Bae  1 , Byoung Gie Kim  3
Affiliations

Robotic high para-aortic lymph node dissection with high port placement using same port for pelvic surgery in gynecologic cancer patients

Tae Joong Kim et al. J Gynecol Oncol. 2015 Jul.

Abstract

Objective: This study reports our initial experience of robotic high para-aortic lymph node dissection (PALND) with high port placement using same port for pelvic surgery in cervical and endometrial cancer patients.

Methods: Between July 2013 and January 2014, we performed robotic high PALND up to the left renal vein during staging surgeries. With high port placement and same port usage for pelvic surgery, high PALND was successfully performed without repositioning the robotic column. All data were registered consecutively and analyzed retrospectively.

Results: All patients successfully underwent robotic high PALND, followed by hysterectomy and pelvic lymph node dissection. Median age was 45 years (range, 39 to 51 years) and median body mass index was 22 kg/m² (range, 19.3 to 23.1 kg/m²). Median operative time for right PALND and left PALND was 37 minutes (range, 22 to 65 minutes) and 44 minutes (range, 36 to 50 minutes), respectively. Median number of right and left para-aortic lymph node by pathologic report was 12 (range, 8 to 15) and 13 (range, 5 to 26).

Conclusion: With high port placement and one assistant port, robotic high PALND with the same port used in pelvic surgery is feasible to non-obese patients.

Keywords: Endometrial Neoplasms; Intraoperative Complications; Lymph Node Excision; Robotics; Surgical Instruments; Uterine Cervical Neoplasms.

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Conflict of interest statement

CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. The port placement (intraoperative and postoperative view). (A) The cephalad part is above the assistant port and the caudal part is below the umbilicus. (B) Left side is the cephalad part and right side is the caudal part.
Fig. 2
Fig. 2. Intraoperative view after completing left side para-aortic lymph node dissection to inferior mesenteric artery level. Inferior mesenteric artery originating from aorta is seen just above the suction.
Fig. 3
Fig. 3. Intraoperative view after completing left side para-aortic lymph node dissection to left renal vein level. Left renal vein is seen at left side to the suction.
See this image and copyright information in PMC

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