Benefit of robot-assisted laparoscopy in nerve-sparing radical hysterectomy: urinary morbidity in early cervical cancer

Abstract

Nerve-sparing radical hysterectomy by robot-assisted laparoscopy is feasible in early cervical cancer (<2 cm). A total of 93.3 % of the patients were discharged 2 days after surgery with spontaneous voiding. The next step would be a prospective study with objective urodynamic investigations.

Oncological Outcomes of Nerve-Sparing Radical Hysterectomy for Cervical Cancer: A Systematic Review

“…11,12,22,29 On the other hand, it is well demonstrated that postoperative adjuvant radiotherapy is a significant cause of morbidity. [31][32][33][34] Interestingly, our literature search showed that up to 54 % of patients with cervical cancer underwent adjuvant radiation therapy after NSRH (Table S1).…”

“…16 Thus, we were able to find seven retrospective studies focused mainly on oncologic outcomes of NSRH. 11,13,14,17,23,24,28 Outcomes Our literature search found heterogeneous oncologic outcomes ranging from no overall recurrences 15,17,19,20,22,25,27,29 to an overall recurrence rate of 19.6 % 28 after NSRH.…”

Robot-Assisted Radical Hysterectomy in Cervical Carcinoma: The Belgian Experience

“…34 Various smaller studies (n = 18, 13, 23, 30) showed low recurrence rates with a median follow-up time of 33.3, 12, 24.5, and 11.5 months. 13,15,25,30 In our series, we also included patients with locally advanced cervical cancer (stage IB2, IIA2, and IIB) who were treated preoperatively with 9 weeks of NACT. The surgicopathological outcomes were comparable for the early stage and the locally advanced cases.…”

Nerve-Sparing Versus Conventional Laparoscopic Radical Hysterectomy: A Minimum 12 Months’ Follow-up Study

“…8,19 Several investigations suggested that the use of minimally invasive rather than open surgery and NS rather than non-NS approaches improve postsurgical patients' outcomes. 4,9 In particular, laparoscopy minimizes the effects of abdominal trauma, and the NS technique reduces the effects of iatrogenic denervation of the vagina and lower urinary and rectal tracts. However, only limited data about the use of these combined techniques (ie, NS-LRH) are still available.…”