Recent reports propose that robotic single-site (RSS) surgery is feasible in treating a benign course of gynecologic processes. The aim of this study is to evaluate the feasibility and safety of RSS surgery for the surgical treatment of early cancerous condition (carcinoma in situ of cervix).
Patients with preoperative diagnosis of carcinoma in situ (CIS) of cervix by loop electrosurgical excision procedure (LEEP) were selected. 10 patients who underwent robotic single-site surgery from March 2014 to August 2015, at Dongsan medical center, Keimyung University were included in this study. All surgical procedures were performed by robotic single-site instruments (da Vinci Si® surgical System, Intuitive Surgical, Sunnyvale, CA) through a single 2-3 cm umbilical incision. All patients underwent simple hysterectomy with or without salpingo-oophorectomy according to the grossly ovarian pathology.
The Median patient age and body mass index were 42.5 years (range, 33-61 years) and 24.2 kg/m2 (range, 18.9-29.0 kg/m2). The median docking time, console time, and total operative time was 10 min (range, 8-15 min), 50 min (range, 36-185 min), and 125 min (range, 90-280 min), respectively. There was no case of conversion to laparoscopy or laparotomy and there was no accessory port insertion. Postoperative wound disruption and dehiscence of umbilical skin occurred in one patient and repaired by non-absorbable suture material under local anesthesia at post-operative 1month.
RSS surgery is feasible and safe in selected patients with early cancerous condition (CIS of Cervix). Operative times were reasonable and surgical procedure was well tolerated by patients. Large-scaled studies comparing laparoendoscopic single site surgery in patients with CIS of cervix should be performed to confirm the safety and benefits of RSS surgery.