title: Robotically-assisted laparoscopic radical parametrectomy and radical vaginectomy.
abstract: BACKGROUND
  Radical parametrectomy is a technically challenging operation used for women found to have occult cervix cancer after a hysterectomy for benign reasons. A similar operation, radical vaginectomy, is rarely performed because of the its technical difficulty in getting adequate margins without an attached uterus.
  
  
  METHODS
  A 41-year-old woman was found to have a presumed surgical Stage IB1 squamous cell carcinoma of the cervix at time of surgery for uterine prolapse. The patient was offered multiple options of surgery and chemoradiation. A second case, a 55-year-old woman, was found to have 1 cm vaginal cancer nine years after a total vaginal hysterectomy for carcinoma in situ of the cervix. She was also offered chemoradiation versus surgery. For the robotically-assisted laparoscopic radical parametrectomy operating time was 186 minutes with an estimated blood loss of 250 ml. For the robotically-assisted laparoscopic radical vaginectomy operating time was 154 minutes with an estimated blood loss of 150 ml. Neither patient had a hospitalization over 24 hours. There were no intraoperative or postoperative complications.
  
  
  CONCLUSIONS
  Robotically-assisted laparoscopic radical paremetrectomy and vaginectomy are both technically feasible procedures.
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Toledo, OH 43614, USA. john.geisler@utoledo.edu
authors.forename: J P
authors.initials: JP
authors.lastname: Geisler
authors.forename: C
authors.initials: C
authors.lastname: Orr
authors.forename: K J
authors.initials: KJ
authors.lastname: Manahan
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D012371:Robotics / Q000379:methods*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*; D014621:Vagina / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000473:pathology / Q000601:surgery*