TY - JOUR
T1 - Robotic radical parametrectomy
T2 - A single institution experience
AU - Corrado, Giacomo
AU - Cutillo, Giuseppe
AU - Vincenzoni, Cristina
AU - Patrizi, Lodovico
AU - Saltari, Maria
AU - Di Luca Sidozzi, Anna
AU - Mancini, Emanuela
AU - Sindico, Stefano
AU - Pomati, Giulia
AU - Piccione, Emilio
AU - Vizza, Enrico
PY - 2014
Y1 - 2014
N2 - OBJECTIVE: To evaluate the feasibility and safety of robotic radical parametrectomy (RRP) and pelvic lymphadenectomy for the management of occult invasive cervical cancer. METHODS: We conducted a retrospective study enrolling patients with occult invasive cervical cancer submitted to RRP and pelvic lymphadenectomy at “Regina Elena” National Cancer Institute in Rome from August 2010 to December 2013. RESULTS: A total of 4 patients were enrolled in the study. Total operative time was 145 minutes (range, 135 – 150 minutes). Blood loss was 100 ml (range, 50 – 150 ml) and there were no intra and post-operative complications. The median number of removed lymph nodes was 24 (range, 10 – 40). The patients were discharged home on postoperative day 3 (range, 2 – 4 days). At a follow-up of 30 (range 8 – 49) months there is no evidence of disease. CONCLUSION: Radical parametrectomy with pelvic lymphadenectomy is indicated in case of occult and under staged cervical cancer and can be performed successfully by robotic approach. Short hospital stay, little haemoglobin drop, absence of complications and the radicality of procedure showed by the length of the parametria removed and the number of lymph nodes dissected demonstrated the feasibility of the procedure.
AB - OBJECTIVE: To evaluate the feasibility and safety of robotic radical parametrectomy (RRP) and pelvic lymphadenectomy for the management of occult invasive cervical cancer. METHODS: We conducted a retrospective study enrolling patients with occult invasive cervical cancer submitted to RRP and pelvic lymphadenectomy at “Regina Elena” National Cancer Institute in Rome from August 2010 to December 2013. RESULTS: A total of 4 patients were enrolled in the study. Total operative time was 145 minutes (range, 135 – 150 minutes). Blood loss was 100 ml (range, 50 – 150 ml) and there were no intra and post-operative complications. The median number of removed lymph nodes was 24 (range, 10 – 40). The patients were discharged home on postoperative day 3 (range, 2 – 4 days). At a follow-up of 30 (range 8 – 49) months there is no evidence of disease. CONCLUSION: Radical parametrectomy with pelvic lymphadenectomy is indicated in case of occult and under staged cervical cancer and can be performed successfully by robotic approach. Short hospital stay, little haemoglobin drop, absence of complications and the radicality of procedure showed by the length of the parametria removed and the number of lymph nodes dissected demonstrated the feasibility of the procedure.
KW - Cervical cancer
KW - Mini invasive surgery
KW - Parametrectomy
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M3 - Article
AN - SCOPUS:84923432334
VL - 26
SP - 21
EP - 25
JO - Italian Journal of Gynaecology and Obstetrics
JF - Italian Journal of Gynaecology and Obstetrics
SN - 1121-8339
IS - 4
ER -