Uterine artery sparing robotic radical trachelectomy (AS-RRT) for early cancer of the cervix.
OBJECTIVE
To describe the surgical technique of uterine artery sparing robotic assisted radical trachelectomy (AS-RRT) for early stage cervical cancer.


METHODS
We used our experience with AS-RRT performed at the University of Wisconsin-Carbone Comprehensive Cancer Center, USA, to present a detailed description of the surgical technique.


RESULTS
The report details, step-by-step, our innovative surgical technique, supported by photos and illustrations. We also discuss potential difficulties with the surgical technique and offer solutions.


CONCLUSIONS
Technically, the surgery is feasible and could be performed by any gynecologic oncologist who is skilled in radical pelvic surgery and the robotic system. The long-term obstetric and oncologic outcome of this technique would be expected to match the outcome of the other radical trachelectomy techniques in the published literature, but is yet to be fully elucidated.
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Wisconsin Hospital and Clinics, Madison, WI 53792-6188, USA. alniaimi@wisc.edu
Ahmed N
AN
Al-Niaimi
Margaret H
MH
Einstein
LaToya
L
Perry
Ellen M
EM
Hartenbach
David M
DM
Kushner
D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D009367:Neoplasm Staging; D012371:Robotics / Q000379:methods*; D055988:Uterine Artery; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*