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CC BY-NC-ND 4.0 · Surg J (N Y) 2021; 07(S 02): S84-S96
DOI: 10.1055/s-0041-1739121
Precision Surgery in Obstetrics and Gynecology

Nerve-Sparing Robotic Radical Hysterectomy for the Beginner in Robotic Surgery

Yuji Hiramatsu
1   Department of Obstetrics and Gynecology, Okayama City General Medical Center, Kita-Ku, Okayama, Japan
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Abstract

Robotic surgery is considered to be the optimal means of performing nerve-sparing radical hysterectomy (RH) because this procedure requires very precise surgery. Nerve-sparing RH has become increasingly popular in Japan. However, with open surgery the operating field is only visible to the surgeon performing this delicate procedure, which makes it difficult to educate trainee assistants. However, robotic surgery provides an expanded operation field that is visible to the surgeon and assistants, which makes it suitable for teaching purposes. To perform this procedure, it is necessary to become proficient in RH by laparotomy and then to become familiar with the characteristics of robotic surgery. In shifting from laparotomy to robotic surgery, we have found that experience with open surgery does not fully prepare surgeons for the new experiences and discoveries associated with robotic surgery, which may initially be problematic. We here provide clear instructions for the procedure with notes concerning particular potentially problematic aspects.

Keywords

radical hysterectomy - robotic surgery - nerve-sparing - cervical cancer - complication


Publication History

Article published online:
01 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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