{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T17:54:27Z","timestamp":1761155667234},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,1,2]],"date-time":"2013-01-02T00:00:00Z","timestamp":1357084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This work assessed the role of robotic\u2010assisted lapararoscopic radical hysterectomy in the treatment of early invasive cervical cancer with special regard to nerve sparing technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between October 2009 and June 2011, a total of 14 non\u2010consecutive patients underwent early cervical cancer surgery at the authors' institution. Patients with FIGO stage IA2 or IB1 with a tumor size less than or equal to 2 cm underwent radical hysterectomy type B1 and patients with FIGO stage IB1 with a tumor mass bigger than 2 cm underwent a radical hysterectomy using a C1 type technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three type B1 and 11 type C1 radical hysterectomies with robotic\u2010assisted laparoscopy were performed using Da Vinci\u00ae. The median operation time was 260 min (range 150\u2013300 min). The median follow\u2010up after surgery was 13.7 months (range 1\u201323 months). During this time, three patients reported anorectal dysfunction while none reported sexual or bladder dysfunction. All patients remain without evidence of disease except one with high risk factors for recurrence. They all are alive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Laparoscopic robotic\u2010assisted radical hysterectomy with nerve sparing technique is an attractive surgical approach for early invasive cervical cancer. Robotic technology allows a stereoscopic visualization of blood vessels and autonomic nerve supplies (sympathetic and parasympathetic branches) to the bladder and rectum making nerve sparing a safe and feasible procedure. Copyright \u00a9 2013 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.1480","type":"journal-article","created":{"date-parts":[[2013,1,2]],"date-time":"2013-01-02T06:28:35Z","timestamp":1357108115000},"page":"339-344","source":"Crossref","is-referenced-by-count":21,"title":["Nerve sparing technique in robotic\u2010assisted radical hysterectomy: results"],"prefix":"10.1002","volume":"9","author":[{"given":"Blanca","family":"Gil\u2010Ib\u00e1\u00f1ez","sequence":"first","affiliation":[{"name":"Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno\u2010Infantil Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berta","family":"D\u00edaz\u2010Feijoo","sequence":"additional","affiliation":[{"name":"Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno\u2010Infantil Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asunci\u00f3n","family":"P\u00e9rez\u2010Benavente","sequence":"additional","affiliation":[{"name":"Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno\u2010Infantil Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oriol","family":"Puig\u2010Puig","sequence":"additional","affiliation":[{"name":"Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno\u2010Infantil Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Franco\u2010Camps","sequence":"additional","affiliation":[{"name":"Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno\u2010Infantil Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Centeno","sequence":"additional","affiliation":[{"name":"Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno\u2010Infantil Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordi","family":"Xercavins","sequence":"additional","affiliation":[{"name":"Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno\u2010Infantil Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Gil\u2010Moreno","sequence":"additional","affiliation":[{"name":"Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno\u2010Infantil Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,2]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Die erweiterte abdominale Operation bei Carcinoma colli Uteri (auf Grund von 500 Fallen)","author":"Wertheim E","year":"1911"},{"key":"e_1_2_6_3_1","first-page":"265","article-title":"Five classes of extended hysterectomy for women with cervical cancer","volume":"44","author":"Piver MS","year":"1974","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70074-3"},{"key":"e_1_2_6_5_1","first-page":"335","article-title":"Radical abdominal hysterectomy for cancer of the cervix uteri, modification of the Takayama operation","volume":"33","author":"Okabayashi H","year":"1921","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_6_6_1","volume-title":"Abdominal Radical Hysterectomy with Pelvic Lymphadenectomy for Cancer of the Cervix (in Japanese)","author":"Kobayashi T","year":"1961"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(91)90614-W"},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","unstructured":"SakuragiN TodoY KudoM et al.A systematic nerve\u2010sparing radical hysterectomy technique in invasive cervical cancer for preserving postsurgical bladder function. 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