title: Robotic uterine artery preservation and nerve-sparing radical trachelectomy with bilateral pelvic lymphadenectomy in early-stage cervical cancer.
abstract: OBJECTIVE
  The aim of the study was to evaluate the safety and feasibility of robotic uterine artery preservation and nerve-sparing radical trachelectomy with pelvic lymphadenectomy using the da Vinci surgical system.
  
  
  METHODS
  Three patients who were diagnosed with early-stage cervical cancer underwent robotic uterine artery preservation and nerve-sparing radical trachelectomy with bilateral lymphadenectomy from January 2010 to March 2010. The data were compared with those of 4 cases of total laparoscopic nerve-sparing radical trachelectomy that were performed from July 2004 to May 2005 and were previously reported.
  
  
  RESULTS
  In the robotic group, the mean console time was 275 minutes (range, 240-305 minutes). The mean postoperative hemoglobin change was 0.4 g/dL (range, 0.2-0.6 g/dL). The mean estimated blood loss was 23 mL (range, 15-40 mL), which is less than that of the laparoscopic group. There were no metastases detected in any of the cases, and the resection margins were negative in both groups.
  
  
  CONCLUSIONS
  The robotic uterine artery preservation and nerve-sparing radical trachelectomy with pelvic lymphadenectomy were efficient in reducing blood loss and feasible methods such as other approaches.
authors.affiliation: Department of Obstetrics and Gynecology, Kyungpook National University, Daegu, Korea.
authors.forename: Dae Gy
authors.initials: DG
authors.lastname: Hong
authors.forename: Yoon Soon
authors.initials: YS
authors.lastname: Lee
authors.forename: Nae Yoon
authors.initials: NY
authors.lastname: Park
authors.forename: Gun Oh
authors.initials: GO
authors.lastname: Chong
authors.forename: Il Soo
authors.initials: IS
authors.lastname: Park
authors.forename: Young Lae
authors.initials: YL
authors.lastname: Cho
mesh_terms: D002584:Cervix Uteri / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D012189:Retrospective Studies; D012371:Robotics; D016896:Treatment Outcome; D055988:Uterine Artery / Q000601:surgery*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*