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.

scholarly journals Robotic radical hysterectomy for early-stage cervical cancer: A systematic literature review

2021 ◽  
Vol 2 (2) ◽  
pp. 33-42
Author(s):  
Gun Oh Chong
Keyword(s):  
Cervical Cancer ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Radical Hysterectomy ◽  
Open Surgery ◽  
Early Stage ◽  
Laparoscopic Approach ◽  
Robotic Radical Hysterectomy ◽  
Early Stage Cervical Cancer

Robotic technology has recently come into widespread use to overcome the limitations of laparoscopic radical hysterectomy in the treatment of early-stage cervical cancer. Most comparative studies showed that blood loss and hospital stays for patients undergoing minimally invasive surgery, including robotic procedures, were superior compared to open surgery. Moreover, the survival outcomes of robotic radical hysterectomy were not inferior to open radical hysterectomy. Unexpectedly, the Laparoscopic Approach to Cervical Cancer (LACC) trial, a randomized, open-label, noninferiority study that compared minimally invasive radical hysterectomy with open radical hysterectomy, revealed that minimally invasive surgery was associated with a higher risk of recurrence and death compared with open surgery. Strict guidelines for robotic radical hysterectomy for the treatment of early-stage cervical cancer should be established in accordance with objective Korean data. In addition, it is recommended that further studies should be performed on how to avoid the use of uterine manipulators and the dissemination of cancer cells by ensuring a more effective vaginal closure using a standardized approach.

Comparison of Different Surgical Approaches for Stage IB1 Cervical Cancer Patients: A Multi-institution Study and a Review of the Literature

2018 ◽  
Vol 28 (5) ◽  
pp. 1020-1028 ◽  
Author(s):  
Giacomo Corrado ◽  
Enrico Vizza ◽  
Francesco Legge ◽  
Luigi Pedone Anchora ◽  
Isabella Sperduti ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Robotic Surgery ◽  
Radical Hysterectomy ◽  
Early Stage ◽  
Figo Stage ◽  
Surgical Approaches ◽  
Review Of The Literature ◽  
Laparoscopic Radical Hysterectomy ◽  
Robotic Radical Hysterectomy ◽  
Early Stage Cervical Cancer

ObjectiveThe aim of this retrospective study was to assess the surgical and oncological outcome of 3 different surgical approaches (laparotomy, laparoscopy, and robotic surgery) in the treatment of early-stage cervical cancer International Federation of Gynecology and Obstetrics (FIGO) stage IB1.MethodsAll patients with a histologically confirmed diagnosis of early-stage cervical cancer, FIGO stage IB1, who underwent abdominal radical hysterectomy (ARH), laparoscopic radical hysterectomy, or robotic radical hysterectomy with or without pelvic and aortic lymphadenectomy were included in the study. A review of the literature was conducted.ResultsThree hundred forty-one patients, between January 2001 and December 2016, were included in this study: 101 patients were submitted to ARH, 152 to laparoscopic radical hysterectomy, and 88 to robotic radical hysterectomy. In 97% and 11.5% of cases, bilateral pelvic and aortic lymph node dissections were performed, respectively. The 3 groups were similar in regard to clinical characteristics. Compared with ARH, the minimally invasive surgery group was safer in terms of estimated blood loss, transfusion rates, and hospital stay. Above all, robotic surgery was equivalent to laparoscopy in terms of intraoperative and postoperative complications, hospital stay, conversions, and reintervention. On the other hand, robotic surgery had better outcomes compared with laparoscopy in terms of transfusion rates and was equivalent to abdominal surgery and laparoscopy in regard to oncological outcomes.ConclusionsOur study confirmed that minimally invasive surgery (laparoscopy or robotics) was as adequate and effective as abdominal surgery in terms of surgical and oncological outcomes in the surgical treatment of EEC FIGO stage IB1.

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
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