Robotic-Assisted Laparoscopic Cervicovaginal Myomectomy

Study Objective: To illustrate a robotic-assisted laparoscopic resection for cervicovaginal myomectomy. Design: Step-wise instruction using video and case report (Canadian Task Force classification III). Setting: A tertiary referral center. Patient: A 39-year-old woman. Intervention: Robotic-assisted laparoscopy resection of leiomyoma. Measurements and Main Results: A 39-year-old woman, gravida 0, body mass index of 23.0 kg/m², with a known cervicovaginal myoma that in the past underwent uterine artery embolization, presented with recurrence of her severe abnormal vaginal bleeding. She was referred for surgical resection of the mass. Magnetic resonance imaging revealed a 5-cm posterior cervicovaginal leiomyoma. The patient wanted to preserve her reproductive organs. A total robotic procedure lasted 123 minutes, with an estimated blood loss of 100 mL. She was discharged uneventfully on the day 0 postoperatively. Pathology results showed a 37-g leiomyoma of the uterus. The patient presented at her 2-weeks postoperative visit with no more complaint of vaginal bleeding. Conclusion: Robot-assisted laparoscopic surgery is a feasible approach for cervicovaginal myoma with minimal complications.