Benefit of robot-assisted laparoscopy in nerve-sparing radical hysterectomy: urinary morbidity in early cervical cancer.
OBJECTIVE
To evaluate the feasibility of nerve-sparing radical hysterectomy in early cervical cancer by robot-assisted laparoscopy and atonic bladder rate.


METHODS
This was a retrospective study with consecutive patients in three gynecological oncology departments. Patients with <2 cm cervical cancer had nerve-sparing radical hysterectomy by robot-assisted laparoscopy and pelvic lymphadenectomy. Two days after surgery, we systematically removed the Foley bladder catheter.


RESULTS
The median (range) age and body mass index of the 30 patients were 44 (33-68) years and 23.9 (17.7-39.4) kg/m(2), respectively. The median (range) tumor diameter at the time of surgery was 13 (4-38) mm. The median (range) operative time, blood loss, and number of pelvic lymph nodes (any common iliac lymph nodes) were 305 (180-405) min, 100 (30-1,500) ml, and 18 (7-28). The overall complication rate was 52.3 %, of which 6.7 % atonic bladder. Twenty-eight patients (93.3 %) were discharged 2 days after surgery with spontaneous voiding and no residual urine >100 ml.


CONCLUSIONS
Nerve-sparing radical hysterectomy by robot-assisted laparoscopy is feasible in early cervical cancer (<2 cm). A total of 93.3 % of the patients were discharged 2 days after surgery with spontaneous voiding. The next step would be a prospective study with objective urodynamic investigations.
Département de Cancérologie Gynécologique, Centre de Lutte Contre le Cancer Oscar Lambret, 3 rue Frédéric Combemale, BP307, 59020, Lille cedex, France. f-narducci@o-lambret.fr
Fabrice
F
Narducci
Pierre
P
Collinet
Benjamin
B
Merlot
Eric
E
Lambaudie
Loic
L
Boulanger
Daniele
D
Lefebvre-Kuntz
Philippe
P
Nickers
Sophie
S
Taieb
Gilles
G
Houvenaeghel
Eric
E
Leblanc
D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D059351:Organ Sparing Treatments; D012189:Retrospective Studies; D012371:Robotics; D014555:Urination Disorders / Q000453:epidemiology*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*