A Successful Simultaneous Robotic Resection of Giant Uterine Fibroids and Rectal Cancer

摘要

The number of reports of robotic surgery for colorectal cancer, including reports of simultaneous surgery involving multiple organs, has increased in recent years. We report a case of simultaneous robotic surgery for a giant uterine fibroid and rectal cancer. The patient 45-year-old woman was diagnosed with rectal cancer and a giant uterine fibroid measuring 18 cm in maximum diameter. The uterine fibroid was oriented toward the cervix and was approached from both sides, and the broad ligament of the uterus was cut off using a vessel sealer. The cervix was dissected from the side of the abdominal cavity using monopolar curved scissors. The GelPOINT Access Platform™ was attached to the vagina, and the laparoscopic camera was inserted into the vagina to confirm the resection site. The border between the uterus and rectum was confirmed from both the abdominal cavity and vaginal sides, and simple total hysterectomy was safely performed. The rectum was dissected below the peritoneal reflection. The excised uterine specimen measured 18×13×5 cm long. The patient underwent robotic surgery for a giant uterine fibroid and rectal cancer. It is important to plan and simulate the surgery beforehand as well as select the site for trocar placement.