title: Robotic nerve-sparing radical parametrectomy: feasibility and technique.
abstract: 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 41 year-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 5 weeks later.
  
  
  RESULTS
  Total operating time was 330 min, blood loss was 145 ml and length of hospitalization 2 days. Pathology revealed no residual tumour. Normal bladder function resumed on postoperative day 9. At a follow-up of 16 months, 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.
authors.affiliation: Department of Medical and Surgical Gynecology, Mayo Clinic in Arizona, Phoenix, AZ 85054, USA. jmagrina@mayo.edu
authors.forename: Javier F
authors.initials: JF
authors.lastname: Magrina
authors.forename: Paul M
authors.initials: PM
authors.lastname: Magtibay
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000294:innervation*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D009362:Neoplasm Metastasis; D009474:Neurons / Q000473:pathology*; D010051:Ovarian Neoplasms / Q000601:surgery; D012371:Robotics / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*