Comparative analysis of genitourinary function after type C1 robotic nerve-sparing radical hysterectomy versus type C2 robotic radical hysterectomy

2019 ◽  
Vol 30 ◽  
pp. 58-62 ◽  
Author(s):  
Jiheum Paek ◽  
Elizabeth Kang ◽  
Peter C. Lim
Keyword(s):  
Comparative Analysis ◽  
Radical Hysterectomy ◽  
Nerve Sparing ◽  
Robotic Radical Hysterectomy

scholarly journals Nerve-Sparing Robotic Radical Hysterectomy for the Beginner in Robotic Surgery

2021 ◽  
Author(s):  
Yuji Hiramatsu
Keyword(s):  
Robotic Surgery ◽  
Radical Hysterectomy ◽  
Open Surgery ◽  
Nerve Sparing ◽  
Robotic Radical Hysterectomy ◽  
Operating Field

AbstractRobotic surgery is considered to be the optimal means of performing nerve-sparing radical hysterectomy (RH) because this procedure requires very precise surgery. Nerve-sparing RH has become increasingly popular in Japan. However, with open surgery the operating field is only visible to the surgeon performing this delicate procedure, which makes it difficult to educate trainee assistants. However, robotic surgery provides an expanded operation field that is visible to the surgeon and assistants, which makes it suitable for teaching purposes. To perform this procedure, it is necessary to become proficient in RH by laparotomy and then to become familiar with the characteristics of robotic surgery. In shifting from laparotomy to robotic surgery, we have found that experience with open surgery does not fully prepare surgeons for the new experiences and discoveries associated with robotic surgery, which may initially be problematic. We here provide clear instructions for the procedure with notes concerning particular potentially problematic aspects.

Nerve-sparing robotic radical hysterectomy: our technique

2013 ◽  
Vol 8 (1) ◽  
pp. 43-47 ◽  
Author(s):  
Shailesh P. Puntambekar ◽  
Akhil Lawande ◽  
Riddhi Desai ◽  
Rahul Kenawadekar ◽  
Saurabh Joshi ◽  
...  
Keyword(s):  
Radical Hysterectomy ◽  
Nerve Sparing ◽  
Robotic Radical Hysterectomy

Nerve Sparing Robotic Radical Hysterectomy

2010 ◽  
Vol 17 (6) ◽  
pp. S192
Author(s):  
Y.S. Lee ◽  
D.G. Hong ◽  
G.O. Chong ◽  
N.Y. Park ◽  
Y.L. Cho ◽  
...  
Keyword(s):  
Radical Hysterectomy ◽  
Nerve Sparing ◽  
Robotic Radical Hysterectomy

Nerve sparing radical hysterectomy: Short-term oncologic, surgical, and functional outcome

2020 ◽  
Author(s):  
Muallem MZ ◽  
A Miranda ◽  
R Armbrust ◽  
J Neymeyer ◽  
J Sehouli ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Radical Hysterectomy ◽  
Nerve Sparing ◽  
Short Term

Nerve-sparing radical hysterectomy in patients with infiltrative cervical cancer

2016 ◽  
pp. 46-51
Author(s):  
T. Dermenzhy ◽  
◽  
V. Svintitskiy ◽  
S. Nespryadko ◽  
L. Legerda ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Radical Hysterectomy ◽  
Contractile Function ◽  
Major Elements ◽  
Control Group ◽  
Nerve Sparing ◽  
Group I ◽  
Hypogastric Plexus ◽  
Prognostic Indexes

The objective: to improve an effectiveness of therapy and quality of life of patients with infiltrative cervical cancer using radical hysterectomy accomplished with nerve-sparing methodology. Patients and Methods: Ninety patients with histologically verified infiltrative cervical cancer were cured with radical hysterectomy (RHE) in the Department of Oncogynecology of National Cancer Institute (Kyiv, Ukraine) in 2012-2016. The age of the patients was from 26 to 65 years (an average age of 42.61±1.06). The patients were distributed in 2 groups: group I treated with nerve-sparing radical hysterectomy (NSRHE), 45 patients, the main group; group II treated with radical hysterectomy (RHE III), the control group, 45 patients. The prognostic indexes in the groups were similar. Results. NSRHE that included the dissection of cardinal ligament, separation of dorsal and anterior layers of uterovesical ligament allowed separate uterine branch of inferior hypogastric plexus, preserve an innervation of urinary bladder and prevent the malfunction of its contractile function at postoperative period. Conclusion. The data of the urodynamic study using cystomanometry performed at pre- and early operative periods have shown that surgical treatment of patients with infiltrative cervical cancer with preservation of the major elements of pelvic autonomic plexuses allows significantly decrease the rate of postoperative urogenical malfunctions. Key words: nerve-sparing radical hysterectomy, cervical cancer, cystomanometry.

scholarly journals Over view of clinical presentation, management and outcome of cervical cancer: A tertiary cancer centre experience

2016 ◽  
Author(s):  
H. Shukla ◽  
K. Batra ◽  
R. Sekhon ◽  
S. Giri ◽  
S. Rawal
Keyword(s):  
Cervical Cancer ◽  
Local Recurrence ◽  
Radical Hysterectomy ◽  
Gynecological Cancer ◽  
Age Group ◽  
Recurrence Rates ◽  
Oncological Safety ◽  
Robotic Radical Hysterectomy ◽  
Time Period ◽  
Hospital Registry

Objectives: (a) To understand the profile of cervical cancer patients attending our hospital from January 2011 till January 2015. (b) To audit the type of care given to the patients with respect to their stage at presentation. (c) To compare the outcomes of open v/s robotic radical hysterectomy done for cervical cancer. Methods: We prospectively analyzed all cases of cervical cancer from January 2011 to January 2015 presenting at our institute. Data was retrieved from patient’s records and institute’s tumor registry. We compared all patients undergoing open v/s robotic RH. All the data were analysed using SPSS version 21. Results: A total of 562 patients were treated for cervical cancer during the time period between 2011-2015. Of these there were 316 (56%) cases taken up for surgery-212 robotic RH, 104 open radical hysterectomy and rest 246 (44%) patients received definitive CCRT. Most common age group was 40-54 yrs. IB1 stage was most common presenting stage. SCC was most common histology (75%). Immediate post op complication and oncological safety in terms of local recurrence was same in both groups. However length of stay and post operative blood requirement was significantly lower in robotic RH group. 45% of all patients who underwent surgery did not require adjuvant therapy in post op period while 35% patient required post op RT and 20% CCRT. 2.2% patient had local recurrence and most of the patients were in stage IIA1 at presentation. Conclusion: Cervical cancer is the most common gynecological cancer in our hospital registry. Mostly women were in the age group of 40-54 years. Most common stage at presentation was 1B and the histology being SCC. Not many differences seen in open v/s robotic techniques of radical hysterectomy except for shorter hospital stay and less need of blood transfusion in the robotic group. Local recurrence rates are comparable in both open and robotic groups.

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