World J Surg Surg Res | Volume 3, Issue 1 | Case Report | Open Access

Case Report of Robot Assisted Single-Site Hysterectomy after Concurrent Chemoradiotherapy for Cervical Cancer Treatment with Using Lighted Ureteral Stent

Changho Song, Seungmee Lee, Hyewon Chung, Tae-Kyu Jang, So-Jin Shin, Sang-Hoon Kwon and Chi-Heum Cho*

Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, Republic of Korea

*Correspondance to: Chi-Heum Cho 

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Introduction: In cervical cancer, the management of residual tumor after Radiotherapy (RT) or
Concurrent Chemoradiation Therapy (CCRT) is not well established. There are some reports that
hysterectomy after RT or CCRT has benefit in reducing local recurrence. However fibrosis and
inflammatory change after radiation makes it difficult to identify ureter lining. We present a case
with using IRIS U-kit (Stryker, Kalamazoo, MI) to reduce ureter damage while performing extrafascial
hysterectomy after CCRT.
Case Presentation: A 59 years old woman was diagnosed cervical cancer stage Ib3. She underwent
CCRT for the treatment. After 3 month, imaging test was done and it showed persistent disease
of 29 mm in endocervix. Robot single site extra-fascial hysterectomy with bilateral oophorectomy
was done with utilizing da Vinci® Xi Surgical system (Intuitive Surgical, Sunnyvale, CA). After
anesthesia, IRIS U-kits insertion via ureteral sheath was done. Which illuminates the entire ureteral
linings? The actual operation time took 38 minutes and time for IRIS U-kit insertion was 12 min.
Patient was well tolerable and discharged after the surgery.
Discussion: With the IRIS U-kits enlightening ureteral linings during whole procedure, surgeon
can precede surgery with confidence and not only reducing ureter injury but also making operation
time shorter which will reduce morbidity and lead to shorter hospital stay. Thus IRIS U kits can be
a safe and advanced way to reduce damage of ureter in various pelvic surgeries.


Ureter injury; Hysterectomy; Cervical cancer; Lighted ureteral stent (IRIS-U kit)


Song C, Lee S, Chung H, Jang T-K, Shin S-J, Kwon S-H, et al. Case Report of Robot Assisted Single- Site Hysterectomy after Concurrent Chemoradiotherapy for Cervical Cancer Treatment with Using Lighted Ureteral Stent. World J Surg Surgical Res. 2020; 3: 1262..

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