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Radical Hysterectomy

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The SAGES Atlas of Robotic Surgery

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Abstract

Radical hysterectomy has been a mainstay in the management of early-stage cervical cancer. With the advent of laparoscopy, and subsequently robotic surgery, more radical hysterectomies are now performed in a minimally invasive fashion. Minimally invasive radical hysterectomies entail greater complexity compared to simple hysterectomies. However, the robotic platform (the da Vinci Si® or Xi®; Intuitive Surgical, Sunnyvale, CA) offers improved visualization, dexterity, and better ergonomics for the surgeon. The robotic platform has some significant advantages compared with conventional laparoscopy. The instruments used in laparoscopy lack flexibility, and the surgeon must operate while standing and looking at a two-dimensional monitor. In the robotic system, the surgeon may remain seated; visualization is provided by a high-definition, three-dimensional camera; and wristed instruments are operated by movement of the surgeon’s hands through use of the EndoWrist® instrument, which affords extraordinary dexterity. In addition, three robotic arms may be used simultaneously. For the practiced clinician, utilization of the robot is advantageous in both simple and complex cases. This chapter will address the data supporting the use of the robotic platform for radical hysterectomy. We will also describe the procedure in a step-by-step fashion.

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Author information

Authors and Affiliations

  1. Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Brooke A. Schlappe MD, Mario M. Leitao Jr. MD & Yukio Sonoda MD

Authors
  1. Brooke A. Schlappe MD
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  2. Mario M. Leitao Jr. MD
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  3. Yukio Sonoda MD
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Corresponding author

Correspondence to Brooke A. Schlappe MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, City of Hope National Medical Center, Duarte, CA, USA

    Yuman Fong

  2. Department of Surgery, City of Hope National Medical Center, Duarte, CA, USA

    Yanghee Woo

  3. Robotic Surgery, Yonsei University Health System, Seoul, Korea (Republic of)

    Woo Jin Hyung

  4. Department of Surgery, Division of Urology and Urologic Oncology, City of Hope National Medical Center, Duarte, CA, USA

    Clayton Lau

  5. Department of Surgery, Gastric and Mixed Tumor Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Vivian E. Strong

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Schlappe, B.A., Leitao, M.M., Sonoda, Y. (2018). Radical Hysterectomy. In: Fong, Y., Woo, Y., Hyung, W., Lau, C., Strong, V. (eds) The SAGES Atlas of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-91045-1_17

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  • DOI: https://doi.org/10.1007/978-3-319-91045-1_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-91043-7

  • Online ISBN: 978-3-319-91045-1

  • eBook Packages: MedicineMedicine (R0)

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