Abstract:Description We use blue cap, hegar(13) for immobilizing uterine cervix. We use multi-articulating instrument, artisential, to move tissue in single site robotic surgery by Davinci Xi, and single port robotic surgery by Davinci SP. In both robot surgery, artisential is useful instrument to perform PLND hysterectomy without uterine manipulator. Conclusion/Implications Using multi-articulating instrument is reasonable option to perform PLND hysterectomy without uterine manipulator by counteraction done.
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