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Robotic nerve‐sparing radical parametrectomy: feasibility and technique
Author(s) -
Magrina Javier F.,
Magtibay Paul M.
Publication year - 2012
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.454
Subject(s) - radical hysterectomy , medicine , blood loss , nerve sparing , surgery , cervical cancer , robotic surgery , bowel function , hysterectomy , radical surgery , cancer , prostate cancer , prostatectomy
Background The objective of this research was to evaluate the feasibility of robotic nerve‐sparing radical parametrectomy for cervical cancer after simple hysterectomy. Methods A 41 year‐old patient was diagnosed with invasive cervical adenocarcinoma after simple hysterectomy. Hysterectomy margins were negative. A robotic nerve‐sparing radical parametrectomy was offered and performed 5 weeks later. Results Total operating time was 330 min, blood loss was 145 ml and length of hospitalization 2 days. Pathology revealed no residual tumour. Normal bladder function resumed on postoperative day 9. At a follow‐up of 16 months, the patient remains with no evidence of disease and with normal bladder and bowel function. Conclusions Robotic nerve‐sparing radical parametrectomy is safe and feasible and can be offered to patients with indications for radical parametrectomy. Copyright © 2012 John Wiley & Sons, Ltd.