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Surgical Endoscopy
Published in: Surgical Endoscopy 4/2013

01-04-2013

Benefit of robot-assisted laparoscopy in nerve-sparing radical hysterectomy: urinary morbidity in early cervical cancer

Authors: Fabrice Narducci, Pierre Collinet, Benjamin Merlot, Eric Lambaudie, Loic Boulanger, Daniele Lefebvre-Kuntz, Philippe Nickers, Sophie Taieb, Gilles Houvenaeghel, Eric Leblanc

Published in: Surgical Endoscopy | Issue 4/2013

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Abstract

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/m2, 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.
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Metadata
Title
Benefit of robot-assisted laparoscopy in nerve-sparing radical hysterectomy: urinary morbidity in early cervical cancer
Authors
Fabrice Narducci
Pierre Collinet
Benjamin Merlot
Eric Lambaudie
Loic Boulanger
Daniele Lefebvre-Kuntz
Philippe Nickers
Sophie Taieb
Gilles Houvenaeghel
Eric Leblanc
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 4/2013
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-012-2582-z

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