Introduction

The purpose of this study is to introduce robotic radical hysterectomy with tagged uterine suture instead of using a uterine manipulator or vaginal tube.

Description

A total of 4 ports were used; first port was located left at 8cm from umbilicus, second port was 20mm sized at umbilicus, third port was located right at 8cm from umbilicus, and fourth was located right at 8cm from the third port (near the right flank). Uterus was tied with needle-straightened multifilament Vicryl 2-0 and tagged uterus was manipulated by fourth arm of the robot. If additional traction is required, instrument was inserted though the umbilical trocar site.

During operation, the tagged uterus was successfully manipulated and appropriate parametrial space was exposed. Pathologically, all surgical margins were not involved with cancer. No tumor cells were seen in cytologic exam before and after the colpotomy.

Conclusion/Implications

Robotic radical hysterectomy can be easily and safely done with the traction of tagged uterine suture.