Robotic nerve-sparing radical hysterectomy.

Abstract

AIM: The aim of this paper was to describe the robotic nerve-sparing technique and review the most recent data in the literature on this surgical approach. METHODS: Presentation of anatomical aspects regarding the nerve-sparing technique, besides discussion of the surgical steps as performed in our institution. RESULTS: Robotic-assisted nerve-sparing radical hysterectomy is a feasible approach for the treatment of cervical cancer patients, with remarkable advantages in terms of ergonomy, articulated movements and image magnification. All these features contribute for identification and preservation of the pelvic innervation, reducing the risk of surgical sequelae. CONCLUSION: Robotic nerve-sparing technique can be incorporated as a standard care without compromising radicality.