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• W3205755087 abstract "Study Objective To evaluate the feasibility and report on early outcome of Novel Technique of Robotic Radical hysterectomy with vaginal cerclage without uterine manipulator (RRHVC) for treatment of stage I cervical cancer. Design Prospective cohort of patients who underwent RRHVC were recorded for demographics, intraoperative and postoperative outcomes and pathological data. Setting Tertiary Hospital. Patients or Participants Stage I cervical cancer from 10/2018 to 10/2020. Interventions Robotic radical hysterectomy with vaginal cerclage without uterine manipulator and pelvic lymphadenectomy. Measurements and Main Results Demographic data, intraoperative and postoperative outcomes, pathological data were prospectively collected and analyzed. The 2 year follow-up was analyzed for recurrence and survival outcomes. Eighteen patients underwent RRHVC: 4 (22.2%) stage IA2, 6 stage IB1 (33.3%), 8 stage IB2 (44.5%). The average age was 50, average BMI 28.3, average clinical tumor size was 2.06 cm. Surgical outcomes were as follow: Average operating time was 208 minutes, average blood loss 100.7 milliliters. Average length of hospitalization was 23 hours. There were no intraoperative complications. Postoperative complications consisted of 3/18 (16.6%): 2 urinary tract infections and one lymphocyst. Pathological outcomes were as follow: Histological cell type: 12 (66.75%) squamous cell, 4 (22.2%) adenocarcinoma, 2 (11.1%) adenosquamous. There were 8(44.4%) Grade 1, 8(44.4%) Grade 2, and 2 (12.2%) Grade 3. The average parametria removed on the right (4.2 × 1.1 × 0.67) and left (4.4 × 1 × 0.62) centimeter. The average vaginal margin was 2.57 (1.3-3.2) centimeter. The average total lymph nodes retrieved were 20 (9-39). Four of 18 had (22.2%) + pelvic nodes. There were no recurrences and deaths to date at the time of this analysis. The average time to followup is 13.6 months (5-27 months) Conclusion The Novel technique of Robotic Radical hysterectomy with vaginal cerclage without uterine manipulator for early-stage cervical cancer appears to be feasible. Assessment of early oncological surgical outcomes appear to be safe without evidence of early recurrence. To evaluate the feasibility and report on early outcome of Novel Technique of Robotic Radical hysterectomy with vaginal cerclage without uterine manipulator (RRHVC) for treatment of stage I cervical cancer. Prospective cohort of patients who underwent RRHVC were recorded for demographics, intraoperative and postoperative outcomes and pathological data. Tertiary Hospital. Stage I cervical cancer from 10/2018 to 10/2020. Robotic radical hysterectomy with vaginal cerclage without uterine manipulator and pelvic lymphadenectomy. Demographic data, intraoperative and postoperative outcomes, pathological data were prospectively collected and analyzed. The 2 year follow-up was analyzed for recurrence and survival outcomes. Eighteen patients underwent RRHVC: 4 (22.2%) stage IA2, 6 stage IB1 (33.3%), 8 stage IB2 (44.5%). The average age was 50, average BMI 28.3, average clinical tumor size was 2.06 cm. Surgical outcomes were as follow: Average operating time was 208 minutes, average blood loss 100.7 milliliters. Average length of hospitalization was 23 hours. There were no intraoperative complications. Postoperative complications consisted of 3/18 (16.6%): 2 urinary tract infections and one lymphocyst. Pathological outcomes were as follow: Histological cell type: 12 (66.75%) squamous cell, 4 (22.2%) adenocarcinoma, 2 (11.1%) adenosquamous. There were 8(44.4%) Grade 1, 8(44.4%) Grade 2, and 2 (12.2%) Grade 3. The average parametria removed on the right (4.2 × 1.1 × 0.67) and left (4.4 × 1 × 0.62) centimeter. The average vaginal margin was 2.57 (1.3-3.2) centimeter. The average total lymph nodes retrieved were 20 (9-39). Four of 18 had (22.2%) + pelvic nodes. There were no recurrences and deaths to date at the time of this analysis. The average time to followup is 13.6 months (5-27 months) The Novel technique of Robotic Radical hysterectomy with vaginal cerclage without uterine manipulator for early-stage cervical cancer appears to be feasible. Assessment of early oncological surgical outcomes appear to be safe without evidence of early recurrence." @default.
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• W3205755087 date "2021-11-01" @default.
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• W3205755087 title "Robotic Radical Hysterectomy with Vaginal Cerclage without Uterine Manipulator: Novel Technique, Feasibility, and Oncologic Outcomes." @default.
• W3205755087 doi "https://doi.org/10.1016/j.jmig.2021.09.020" @default.
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