520 - Robotic Type III Radical Parametrectomy for Vaginal Recurrence after Tlh for Minimally Invasive Cervical Cancer

Robotic surgery is a new innovation, which provides advantages in difficult dissections. We performed a robotic radical type III parametrectomy with an upper vaginectomy on a patient with vaginal recurrence after laparoscopic hysterectomy for minimally invasive cervical cancer. We suspected the 64 year old patient (BMI 26) suffered adhesion and fibrosis as a result of her initial surgery. We decided to perform robotic surgery as it provides precise dissection, important for dissection of the ureter and bladder in these circumstances. The surgery took 4 hrs38mins and estimate blood loss was 220 mL. The patient recovered without incident and was able to ambulate and take a regular diet 1 day after surgery. Patients who undergo radical hysterectomy suffer from bladder dysfunction however, this patient was able to urinate normally and feel a sense of retention 5 days after surgery. The precise dissection of robotic surgery provided complete resection and avoidance of complications.