Case Report Robotic-Assisted Dissection of Bulky Lymph Nodes in Cervical Cancer

Copyright © 2014 Ahmet Göçmen et al.This is an open access article distributed under theCreative CommonsAttribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The resection of bulky lymph node metastases, which may provide a therapeutic benefit, has been proposed in several studies based on laparotomy and laparoscopy. There is no published study in the literature examining the resection of bulky lymph node metastases using a robotic technique. In this report, we presented a patient with cervical cancer who underwent robotic-assisted dissection of bulky lymph nodes.The robotic-assisted operation time was 255minutes, and themean console time was 215minutes. The estimated blood losswas 70mL.Thenumber of lymphnodes retrievedwas 28, and the number of the dissected paraaortic lymph nodes was 13.The number of the lymph nodemetastases was eight.The bulky lymph nodes which are difficult to be eradicated with standard radiation therapy can be resected with robotic-assisted surgery and successful resection of the lymph nodes can improve the treatment strategy. This minimal invasive technique is safe and feasible for bulky lymph node dissection. 1