Role of robotic surgery in cervical malignancy

Best Pract Res Clin Obstet Gynaecol. 2017 Nov:45:60-73. doi: 10.1016/j.bpobgyn.2017.03.009. Epub 2017 Apr 24.

Abstract

Surgical treatment is the mainstay of the management of early-stage cervical cancer. Abdominal radical hysterectomy and trachelectomy have long been the standard surgical approach to early-stage cervical cancer, achieving excellent survival outcomes. Recently, laparoscopic radical hysterectomy and trachelectomy have become the preferred alternative to abdominal surgery because laparoscopic approaches lead to better surgical outcomes without compromising survival outcomes. Since the robotic surgery platform was approved for the use of gynaecologic surgery in 2005, robotic radical hysterectomy and trachelectomy have been increasingly used in the surgical management of early-stage cervical cancer. However, the role of robotic surgery is poorly defined. This review examines the role of robotic surgery in the surgical management of cervical cancer by comparing the published data on its use with those of abdominal and laparoscopic surgeries.

Keywords: cervical cancer; robotic radical hysterectomy; robotic radical trachelectomy; robotic surgery.

Publication types

  • Review

MeSH terms

  • Abdomen / surgery
  • Cervix Uteri / surgery
  • Female
  • Gynecologic Surgical Procedures / methods*
  • Humans
  • Laparoscopy / methods*
  • Robotic Surgical Procedures / methods*
  • Uterine Cervical Neoplasms / surgery*