Abstract
The Da Vinci robotic surgical platform has rapidly been adopted by skilled surgeons for procedures in gynecologic oncology. The lack of specific procedural guides and surgical atlases for robotic surgery in gynecologic oncology produces challenges in the education of trainees in their role both as the assistant and as the console surgeon. This procedural guide was developed in order to facilitate trainee education in the technical aspects of radical hysterectomy for cervical cancer using the Da Vinci robotic surgical platform. Patient selection, preparation, and the technical aspects of robotic radical hysterectomy are described from both the standpoint of the console surgeon and the bedside assistant.
Similar content being viewed by others
References
Boggess JF, Gehrig PA, Cantrell L, Shafer A, Ridgway M, Skinner EN, Fowler WC (2008) A case-control study of robot-assisted type III radical hysterectomy with pelvic lymph node dissection compared with open radical hysterectomy. Am J Obstet Gynecol 199(4):357.e1-7
Estape R, Lambrou N, Diaz R, Estape E, Dunkin N, Rivera A (2009) A case matched analysis of robotic radical hysterectomy with lymphadenectomy compared with laparoscopy and laparotomy. Gynecol Oncol 113(3):357–361 (Epub 2009 Apr 5)
Fanning J, Hojat R, Johnson J, Fenton B (2009) Robotic radical hysterectomy. Minerva Ginecol 61(1):53–55
Fanning J, Fenton B, Purohit M (2008) Robotic radical hysterectomy. Am J Obstet Gynecol 198(6):649.e1-4
Kim YT, Kim SW, Hyung WJ, Lee SJ, Nam EJ, Lee WJ (2008) Robotic radical hysterectomy with pelvic lymphadenectomy for cervical carcinoma: a pilot study. Gynecol Oncol 108(2):312–316 (Epub 2007 Nov 26)
Ko EM, Muto MG, Berkowitz RS, Feltmate CM (2008) Robotic versus open radical hysterectomy: a comparative study at a single institution. Gynecol Oncol 111(3):425–430 (Epub 2008 Oct 16)
Lowe MP, Chamberlain DH, Kamelle SA, Johnson PR, Tillmanns TD (2009) A multi-institutional experience with robotic-assisted radical hysterectomy for early stage cervical cancer. Gynecol Oncol 113(2):191–194 (Epub 2009 Feb 26)
Maggioni A, Minig L, Zanagnolo V, Peiretti M, Sanguineti F, Bocciolone L, Colombo N, Landoni F, Roviglione G, Vélez JI (2009) Robotic approach for cervical cancer: comparison with laparotomy: a case control study. Gynecol Oncol 115(1):60–64 (Epub 2009 Jul 28)
Magrina JF, Kho R, Magtibay PM (2009) Robotic radical hysterectomy: technical aspects. Gynecol Oncol 113(1):28–31 (Epub 2009 Jan 26)
Magrina JF, Zanagnolo VL (2008) Robotic surgery for cervical cancer. Yonsei Med J 49(6):879–885 (Review)
Kho RM, Weaver AL, Montero RP, Magtibay PM, Magrina JF (2008) Robotic radical hysterectomy: comparison with laparoscopy and laparotomy. Gynecol Oncol 109(1):86–91 (Epub 2008 Feb 14)
Nezhat FR, Datta MS, Liu C, Chuang L, Zakashansky K (2008) Robotic radical hysterectomy versus total laparoscopic radical hysterectomy with pelvic lymphadenectomy for treatment of early cervical cancer. J Soc Laparoendosc Surg 12(3):227–237
Obermair A, Gebski V, Frumovitz M, Soliman PT, Schmeler KM, Levenback C, Ramirez PT (2008) A phase III randomized clinical trial comparing laparoscopic or robotic radical hysterectomy with abdominal radical hysterectomy in patients with early stage cervical cancer. J Minim Invasive Gynecol 15(5):584–588
Ramirez PT, Soliman PT, Schmeler KM, Dos Reis R, Frumovitz M (2008) Laparoscopic and robotic techniques for radical hysterectomy in patients with early-stage cervical cancer. Gynecol Oncol 110(3 Suppl 2):S21–S24 (Epub 2008 May 19. Review)
Sert B, Abeler V (2007) Robotic radical hysterectomy in early-stage cervical carcinoma patients, comparing results with total laparoscopic radical hysterectomy cases. The future is now? Int J Med Robot 3(3):224–228
Sert BM, Abeler VM (2006) Robotic-assisted laparoscopic radical hysterectomy (Piver type III) with pelvic node dissection: case report. Eur J Gynaecol Oncol 27(5):531–533
Smith AL, Pareja R, Ramirez PT (2009) Robotic radical hysterectomy. A literature review. Minerva Ginecol 61(4):339–346
Morrow CP, Curtin JP (eds) (1996) Gynecologic cancer surgery. W. B. Saunders Co, Philadelphia, PA [out of print]
Querleu D, Morrow CP (2008) Classification of radical hysterectomy. Lancet Oncol 9:297–303
The Colpo-Probe™ is manufactured by Apple Medical Corporation. Refer to http://www.applemed.com/product.php?product=colpo_probe_vaginal_fornix_deliniator for specific product information
The NeatClose™ is an automated laprascopic port closure device developed by NeatStitch, www.NeatStitch.com
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Boardman, C., Huggins, A. & Hull, K. Da Vinci robotic-assisted radical hysterectomy procedural guide. J Robotic Surg 5, 181–187 (2011). https://doi.org/10.1007/s11701-011-0252-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11701-011-0252-0