Survival outcomes of robotic radical hysterectomy for early stage cervical cancer: A 9-year study

Gabriele Siesto, Andrea Finco, Rosa Alba Valentina Portuesi, Fabrizio Romano, Nicoletta Palma Ieda', Domenico Vitobello

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Recently, the results of a RCT have raised concerns on the management of cervical cancer through a minimally invasive approach. This study reports on the outcomes of patients with early stage cervical cancer submitted to robotics.

METHODS: Retrospective review of a consecutive series of patients with an early cervical cancer treated with robotics at a single Institution over a 9-year period.

RESULTS: A total of 91 women were managed; 39 (41.1%) had cervical adenocarcinoma. One (1.1%) conversion to laparotomy and one (1.1%) intraoperative complication occurred. Five (5.5%) patients experienced postoperative (>G2) complications; 24 (26.4%) patients required further adjuvant therapies. After a median follow-up of 40.7 (3.8-96.6) months, the DFS and OS were 90.4 (95%CI 85.3-95.6)% and 94.5 (95%CI 91.8-97.2)%, respectively.

CONCLUSIONS: According to the available literature, the survival outcomes of this series of RRH for ECC are not inferior to what recorded in the past by an open approach.

Original languageEnglish
Pages (from-to)e2003
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Issue number4
Publication statusPublished - Aug 2019


  • Adenocarcinoma/surgery
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Hysterectomy/methods
  • Interdisciplinary Communication
  • Middle Aged
  • Neoplasm Metastasis
  • Prospective Studies
  • Retrospective Studies
  • Robotic Surgical Procedures/methods
  • Treatment Outcome
  • Uterine Cervical Neoplasms/mortality
  • Young Adult


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