Robotic nerve-sparing radical parametrectomy: Feasibility and technique

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 41year-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 5weeks later. Results: Total operating time was 330min, blood loss was 145ml and length of hospitalization 2days. Pathology revealed no residual tumour. Normal bladder function resumed on postoperative day 9. At a follow-up of 16months, 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.