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Robotic radical hysterectomy with pelvic lymphadenectomy for cervical carcinoma: a pilot study

Authors
 Young Tae Kim  ;  Sang Wun Kim  ;  Woo Jin Hyung  ;  Soo Jin Lee  ;  Eun Ji Nam  ;  Woo Jung Lee 
Citation
 GYNECOLOGIC ONCOLOGY, Vol.108(2) : 312-316, 2008 
Journal Title
GYNECOLOGIC ONCOLOGY
ISSN
 0090-8258 
Issue Date
2008
MeSH
Adult ; Aged ; Female ; Humans ; Hysterectomy/methods* ; Laparoscopy/methods ; Lymph Node Excision/methods* ; Middle Aged ; Neoplasm Staging ; Retrospective Studies ; Robotics/methods* ; Uterine Cervical Neoplasms/pathology ; Uterine Cervical Neoplasms/surgery*
Keywords
Robotics ; Hysterectomy ; Lymphadenectomy ; Cervix cancer
Abstract
OBJECTIVES: The purpose of this study was to evaluate the feasibility and surgical outcome of robotic radical hysterectomy with pelvic lymphadenectomy for stage I cervical carcinoma using the da Vinci surgical system. METHODS: A retrospective clinical review was performed of ten patients with FIGO stage IA2-IB1 cervical carcinoma who underwent a total robotic approach for definitive surgical treatment. Patient status was estimated in terms of operative morbidity, length of surgery, docking time, estimated blood loss, yield of pelvic lymph node and hospital stay. RESULTS: All operations were completed robotically with no conversions to laparotomy. Mean operative time was 207 min (range 120 to 240 min). Mean docking time was 26 min (range 10 to 45 min). Mean estimated blood loss was 355 mL. The average number of pelvic lymph nodes resected was 27.6 (range 12 to 52). There were no ureteral injuries or fistula complications. CONCLUSIONS: Robotic radical hysterectomy with pelvic lymphadenectomy for selected patients with stage IB1 cervical cancer is feasible, promising and related with a low morbidity in this pilot study. Only prospective randomized trials will permit the evaluation of potential benefits associated with this surgical technique.
Full Text
http://www.sciencedirect.com/science/article/pii/S0090825807008451
DOI
10.1016/j.ygyno.2007.10.015
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sang Wun(김상운) ORCID logo https://orcid.org/0000-0002-8342-8701
Kim, Young Tae(김영태) ORCID logo https://orcid.org/0000-0002-7347-1052
Nam, Eun Ji(남은지) ORCID logo https://orcid.org/0000-0003-0189-3560
Lee, Soo Jin(이수진)
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107369
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