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Robotic-Assisted Radical Hysterectomy with Anterior and Posterior Exenteration: Surgical Perspective

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Hysterectomy

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Abstract

Cervical cancer represents one of the most common types of neoplasia among women, the use of minimally invasive techniques in the treatment of cervical cancer is a challenge. In the past, open radical hysterectomy through a midline incision, was the standard operative management for early stage cervical cancer. However, minimally invasive surgery for radical hysterectomy has recently become widespread as the result of advances in laparoscopic instrumentation and surgical techniques.

Robot-assisted procedures are being increasingly incorporated in gynecologic oncology. Several studies have confirmed the feasibility and safety of robotic radical hysterectomy and pelvic exenteration for selected patients with cervical cancer. Computer enhanced technology may enable more surgeons to convert laparotomies to laparoscopic surgery with its associated benefits. There is good evidence that robotic surgery facilitates laparoscopic surgery, with equivalent if not better operative time and comparable surgical outcomes, shorter hospital stay, and fewer major complications than with surgeries using the laparotomy approach. Laparoscopic and robotically assisted laparoscopic techniques may be feasible in highly selected individuals.

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Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Korea University College of Medicine, 73 Inchon-ro, Seongbuk-gu Seoul, 02841, South Korea

    Sanghoon Lee MD, PhD, Seok Ho Kang MD, PhD, Seon Hahn Kim MD, PhD & Jae Yun Song MD, PhD

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  1. Sanghoon Lee MD, PhD
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  2. Seok Ho Kang MD, PhD
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  3. Seon Hahn Kim MD, PhD
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  4. Jae Yun Song MD, PhD
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Corresponding author

Correspondence to Sanghoon Lee MD, PhD .

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Editors and Affiliations

  1. Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Ibrahim Alkatout

  2. Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Liselotte Mettler

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Lee, S., Kang, S.H., Kim, S.H., Song, J.Y. (2018). Robotic-Assisted Radical Hysterectomy with Anterior and Posterior Exenteration: Surgical Perspective. In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_73

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  • DOI: https://doi.org/10.1007/978-3-319-22497-8_73

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  • Online ISBN: 978-3-319-22497-8

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