Successful robot-assisted surgery for treating endometrial cancer affecting bicornuate-bicollis or didelphic uterus
Affiliation(s)
Obstetrics and Gynecology Unit, IRCCS “Casa Sollievo della Sofferenza”, San Giovanni Rotondo, Italy.
Obstetrics and Gynecology Unit, IRCCS “Casa Sollievo della Sofferenza”, San Giovanni Rotondo, Italy.
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.
Cite this paper
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.
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.
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
[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