Robotic port‐site and pelvic recurrences after robot‐assisted laparoscopic radical hysterectomy for a stage IB1 adenocarcinoma of the cervix with negative lymph nodes

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Abstract
Background: Port‐site metastasis (PSM) following minimally invasive surgery for gynaecological cancer has been recognized as a potential problem over the last two decades.Methods: A 60 year‐old woman with stage Ib1 adenocarcinoma of the cervix was treated with radical hysterectomy, bilateral salpingo‐oophorectomy and bilateral pelvic lymph node dissection, using robot‐assisted laparoscopy.Results: Eighteen months after primary surgery, the patient developed a pelvic recurrence invading both the bladder mucosa and the parametrium. During the routine recurrence work‐up, we found an 8 mm robotic port‐site metastasis (PSM) on the abdominal computed tomography (CT) scan.Conclusion: This is the first case report emphasizing the risk of PSM and early pelvic recurrences in robot‐assisted laparoscopic radical hysterectomy and bilateral pelvic lymph node dissection for an early‐stage cervical adenocarcinoma patient with negative lymph nodes, histologically examined by immunohistochemical ultrastaging. Copyright © 2010 John Wiley & Sons, Ltd.