A case of endometrial stromal sarcoma treated with additional laparoscopic surgery using a wound from robot-assisted laparoscopic total hysterectomy

Endometrial stromal sarcoma, a rare disease, accounts for approximately 0.2％ of all types uterine malignancies. The disease may be difficult to differentiate from the benign one using preoperative imaging and histological diagnosis. We report case patient who underwent robot-assisted surgery adenomyosis was diagnosed with low-grade endometrial sarcoma. She additional laparoscopic initial surgical wound. A 45-year-old gravida 4, para 2 referred because excessive menstruation caused by adenomyosis. Ultrasound magnetic resonance revealed 5-cm right endometrioid ovarian cyst. Cytology did not reveal any suspicious findings malignant disease. Hormone therapy initiated, but bleeding anemia were observed. Hence, robotic performed. Robot-assisted hysterectomy, adnexectomy, left tubectomy performed da Vinci Xi system. discharged without postoperative problems.