Our ideas and devices to establish stable and precise procedures in robotic radical trachelectomy for cervical cancer patients

Abstract

Objective: To preserve fertility of cervical cancer patients, we started abdominal radical trachelectomy (ART) in 2005 and accomplished successful surgical outcome with only 1 recurrence in almost 200 cases slightly including abdominal modified-radical or simple trachelectomy. With almost 40% of patients who attempted to conceive after their abdominal trachelectomies, almost 40% of them became pregnant. However, many cases needed artificial insemination by husband or artificial reproductive technology to be pregnant. Therefore, we started to shift ART to robotic RT (RRT), which may bring not only minimal invasiveness but also increased spontaneous pregnancy rate due to reducing postoperative adhesion.