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.
Narducci F, Collinet P, Merlot B, Lambaudie E, Boulanger L, Lefebvre-Kuntz D, Nickers P, Taieb S, Houvenaeghel G, Leblanc E. Are you the author?
Département de Cancérologie Gynécologique, Centre de Lutte Contre le Cancer Oscar Lambret, 3 rue Frédéric Combemale, BP307, 59020, Lille cedex, France.
Reference: Surg Endosc. 2012 Oct 18. Epub ahead of print.