Successful robot-assisted surgery for treating endometrial cancer affecting bicornuate-bicollis or didelphic uterus

DOI: 10.4236/ojog.2013.35A1004   PDF   HTML   XML   3,586 Downloads   5,130 Views  

Abstract

Uterine anomalies are mainly associated with improper development of Mullerian ducts. To our knowledge, reports describing the use of a da Vinci Robot System for treating an endometrial cancer in a woman with an abnormal uterus are lacking. Here, we reported the description of two extremely obese women, affected by endometrial cancer and presenting bicornuate-bicollis and didelphic uterus have been treated by Robot System-assisted surgery. No operative and postoperative complications were recorded. Both women are disease-free to follow-up. A robot-assisted surgery could represent an effective treatment option for complex hysterectomies and in complicated patients, as those showing an extreme obesity.

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Maglione, A. , Montanaro, S. and Petruzzelli, F. (2013) Successful robot-assisted surgery for treating endometrial cancer affecting bicornuate-bicollis or didelphic uterus. Open Journal of Obstetrics and Gynecology, 3, 15-18. doi: 10.4236/ojog.2013.35A1004.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Dane, C. (2009) A single horn endometrial carcinoma of a uterus bicornis unicollis. Journal of Gynecologic Oncology, 20, 195-197. doi:10.3802/jgo.2009.20.3.195
[2] Shulman, L.P. (2008) Mullerian anomalies. Clinical Obstetrics and Gynecology, 51, 214-222. doi:10.1097/GRF.0b013e31816feba0
[3] Acien, P. and Acien, M.I. (2011) The history of female genital tract malformation classifications and proposal of an updated system. Human Reproduction Update, 17, 693-705. doi:10.1093/humupd/dmr021
[4] Duncan, A.S. and John, A.H. (1962) Endometrial carcinoma occurring in uterus bicornis. Journal of Obstetrics and Gynaecology of the British Empire, 69, 488-490. doi:10.1111/j.1471-0528.1962.tb01181.x
[5] Tsukahara, Y., Fukamatsu, Y., Tomita, K., Shiozawa, T., Iinuma, H. and Fukuta, T. (1990) Endometrial carcinoma arising from a double uterus. Gynecologic and Obstetric Investigation, 29, 311-312. doi:10.1159/000293344
[6] Kosinski, A. and Dini, M. (1994) Endometrial cancer in a double uterus: A report of two cases. Journal of Reproductive Medicine, 39, 926-927.
[7] Shashoua, A.R., Gill, D. and Locher, S.R. (2009) Robotic-assisted total laparoscopic hysterectomy versus conventional total laparoscopic hysterectomy. Journal of the Society of Laparoendoscopic Surgeons, 13, 364-369.
[8] Lu, D., Liu, Z., Shi, G., Liu, D. and Zhou, X. (2012) Robotic assisted surgery for gynaecological cancer. Cochrane Database of Systematic Reviews, 1, CD008640. doi:10.1002/14651858.CD008978.pub2
[9] Holloway, R.W. and Ahmad, S. (2012) Robotic-assisted surgery in the management of endometrial cancer. Journal of Obstetrics and Gynaecology Research, 38, 1-8. doi:10.1111/j.1447-0756.2011.01744.x
[10] Soto, E., Lo, Y., Friedman, K., Soto, C., Nezhat, F., Chuang, L. and Gretz, H. (2011) Total laparoscopic hysterectomy versus da Vinci robotic hysterectomy: Is using the robot beneficial? Journal of Gynecologic Oncology, 22, 253-259. doi:10.3802/jgo.2011.22.4.253
[11] Sarlos, D. and Kots, L.A. (2011) Robotic versus laparoscopic hysterectomy: A review of recent comparative studies. Current Opinion in Obstetrics and Gynecology, 23, 283-288. doi:10.1097/GCO.0b013e328348a26e
[12] Barbash, G.I. and Glied, S.A. (2010) New technology and health care costs—The case of robot-assisted surgery. New England Journal of Medicine, 363, 701-704. doi:10.1056/NEJMp1006602

  
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