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Occult discovery of invasive cervical cancer discovered after hysterectomy for non-malignant indications is not uncommon. For patients presenting an incidental diagnosis of early stage invasive cervical cancer (FIGO Stages IA1-IB2), two possible strategies can be proposed: Adjuvant radiation Therapy with no tumor target or Radical Parametrectomy (RP) associated with upper vaginectomy and pelvic lymph node dissection. When compared to Radiation therapy RP presents a lower rate of late complications, making it the preferred approach to treat younger patients. Traditionally performed via laparotomy, minimally invasive approach is now proven feasible and effective. This article presents a focused anatomic review and describes the surgical technique of the five-port robotic assisted radical parametrectomy.

Robotic radical parametrectomy in patients with undiagnosed invasive cervical cancer: a step by step procedure