Robotic Single-Site Versus Multiport Radical Hysterectomy in Early Stage Cervical Cancer: An Analysis of 62 Cases from a Single Institution.

Jang, Tae-Kyu; Chung, Hyewon; Kwon, Sang-Hoon; Shin, So-Jin; Cho, Chi-Heum

BACKGROUND This study aimed to compare the surgical outcomes and cost of robotic single-site radical hysterectomy (RSSRH) versus robotic multiport radical hysterectomy (RMPRH) with pelvic lymph node dissection (PLND) in early stage cervical cancer. METHODS Sixty-two patients with early stage cervical cancer were recruited between November 2011 and July 2017 and underwent RSSRH (20 patients) and RMPRH (42 patients) for early stage cervical cancer using the da Vinci Si Surgical System (Intuitive Surgical, Sunnyvale, CA). RESULTS There were no significant difference between the two groups in most of parameters. However, postoperative hospital discharge and total hospital costs for RSSRH were significantly shorter than RMPRH (both p<0.001). However, lymph node retrieval of RMPRH was significantly higher than RSSRH in (18.0 vs. 9.5, respectively; p<0.001). CONCLUSIONS RSSRH has comparable surgical outcomes to the RMPRH method. RSSRH could be considered a surgical option in a well-selected patient group. This article is protected by copyright. All rights reserved.