Total Robotic Hysterectomy: Thailand’s First Case Report of Gynecologic Robotic Surgery

Abstract

Objective: This study aimed to report the feasibility, trouble shooting and surgical technique in the total robotic hysterectomy for the patient with adenomyoma uteri.
Methods: A 51 year-old patient was diagnosed with adenomyosis. Total robotic hysterectomy was performed.
Results: Total operating time was 350 min, estimated blood loss was 50 ml, and length of hospitalization was 6 days. The pathologic section revealed adenomyosis with myoma uteri. The intraoperative and post-operative complications were unremarkable. The patient was in good conditions at 6^th week, 3^rd, 6^th, 12^th and 24^th month.
Conclusion: Total robotic hysterectomy for benign gynecologic condition, such as adenomyosis, is safe and feasible. However, the sustained high consuming cost must be weighted with the patient’s advantages.

Keywords: Robotic, hysterectomy, adenomyosis, myoma uteri